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Angelika, Aesthetic Nurse Injector Angelika handles aesthetic injections and patient consultations at the La Grange clinic
Progressive destruction of the cells that line the stomach causes decreased secretion of acid and enzymes required to release food-bound vitamin B 12 (5)
For those with neurological symptoms, hydroxocobalamin 1 mg is given on alternate days until no further improvement is observed, as recommended by NICE guidance and the product information
It acts as a bacteriostatic agent
Its 28-day usability window after opening is specifically designed for this use case, and using sterile water in a multi-dose context introduces a real and unnecessary contamination risk with every additional needle insertion
