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Treat promptly per standard of care, and monitor until signs and symptoms resolve

Ongoing Treatment (Not Diet-Related): For deficiencies not caused by diet (e.g., pernicious anaemia, the most common cause in the UK), youll usually need a hydroxocobalamin injection every 2 to 3 months for life

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Lyophilised powder: freeze at -20 C or below immediately on receipt - stable for years Reconstituted solution: refrigerate at 28 C , use within 30 days , never freeze (ice crystals damage the peptide) Topical serums / creams: cool, dark storage

In a systematic review, researchers found inadequate evidence to determine if intravenous vitamin C was beneficial for cancer treatment

Most patients begin noticing abdominal changes around the 2-week mark, particularly a shift in how the midsection feels