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Rinsing your bottle out with cold water isn't sufficient, Freestone says, because this won't get rid of biofilms the slimy layer of bacteria that can build up on the inner surface of your bottle, which provides the perfect environment in which bacteria can thrive

Timing can make a difference

Your NP will advise the right protocol for your goals

Or is the story a bit more complex

Intramuscular hydroxocobalamin injections are the recommended first-line treatment in the UK, as they bypass the absorption problem caused by lack of intrinsic factor

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