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Wipe the vial stopper with an alcohol swab and let it air-dry

Anemia was more common in women, possibly reflecting the generally higher need for iron in premenopausal women, and less common in screen-detected patients

When symptoms are attributed to high B12 intake, they typically include: Skin reactions : Acne-like eruptions or rosacea-type rashes, particularly with hydroxocobalamin injections (listed as rare adverse effects in the product information) Gastrointestinal disturbances : Mild nausea, diarrhoea, or abdominal discomfort Headaches : Occasional reports of headache following B12 injections Anxiety or restlessness : Anecdotal reports, though causation remains unestablished It is crucial to distinguish between symptoms caused by elevated B12 levels and those arising from the underlying conditions that elevate B12

Good gravel vacuuming is advised after treatment to remove the paralyzed (but still live) worms

Check the BAC water for clarity