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If you do the injections at home, it can be best to do them while your cat is calm or distracted, such as during a meal

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Some possible peptide therapy side effects include: Hives, swelling, or breathing difficulty High blood pressure, rapid heart rate, and palpitations Nausea, vomiting, and diarrhea Headaches and dizziness Rashes Always consult a doctor before starting peptide therapy

Once the vial is used or opened when you first use it, you should continue refrigerating them after use

So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [5154]

UK guidelines recommend monitoring clinical response and full blood count (typically at around 2 months) to ensure treatment adequacy, rather than routinely rechecking B12 levels after replacement has started