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This is how we get a clear diagnosis
First you will see a report from 1971 that in a study on excessive prescribing, B12 treatment was singled out, possibly due to the idea that GPs were giving patients B12 injections, willy nilly as a tonic
These areas of investigation are of particular relevance: NNMT Interaction
Avoid Over-Dilution: Adding too much water (e.g., 10 mL to a 2 mg vial) results in a dilute solution, requiring larger injection volumes that may be impractical or uncomfortable
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