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Warnings: In the prevention and treatment of megaloblastic anemia, the combination of this product and folic acid can achieve better results

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Over weeks, it's obvious

Don't leave the vial sitting open or the needle inserted for longer than necessary

Options include: Changing from one oral tablet formulation to another with different excipients Discussing sublingual preparations as an alternative (though evidence doesn't suggest superior absorption to oral tablets) For those on injections, checking the specific product's SmPC for excipient information In the UK, hydroxocobalamin injection is the licensed first-line treatment for B12 deficiency requiring parenteral therapy