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Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant

Funabashi, S

Peptides are packed to minimise heat exposure in transit

Skin side effects and other adverse events must be reported through the clinical trial sponsor's pharmacovigilance processes, with MHRA oversight ensuring patient safety during the investigational phase