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According to NICE guidance and standard UK clinical practice, patients with confirmed B12 deficiency and neurological symptoms typically require initial treatment with hydroxocobalamin injections

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In some rare cases, very high levels of B12 in the blood can be associated with minor side effects like mild acne, dizziness, or a temporary rash
At Perfect B, the standard dose is 25 units per injection using an insulin syringe, drawn from a vial reconstituted with 2.5mL of bacteriostatic water

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