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Side effects are uncommon but may include mild lethargy, digestive discomfort or injection site irritation
As treatment progresses, many patients notice reduced appetite and steady progress over time
If you are experiencing such problems, in the first instance you should see your GP who will undertake a blood test, review your symptoms, and diagnose any deficiency, alongside any need for dietary changes, oral supplementation, or prescribed injections of vitamin B12
It comes as a freeze-dried powder that you reconstitute with water and inject, usually once a day subcutaneously or intramuscularly
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