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Both injection methods have few associated side effects and deliver effective treatment
In practice a GP or nurse may administer off-licence by giving a sub-cutaneous (under the skin, SC) injection but it is important to remember that the GP makes their own decision and takes their own accountability and reliability if they go off-licence
Smith TJ
Delving into B12 Shots & B12 Injections: The Good, Bad, and Alternative
Heres why: there are nuances to each product that does truly make some products better-suited to particular treatments and/or cases
This picture can also be caused by folate deficiency
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