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Combined use of both compounds is entirely unstudied in humans and carries unpredictable metabolic and cardiovascular risks
Patients should remain seated for a few minutes after an IM or IV dose, just to ensure they do not experience dizziness
This is not a stimulant or a short-term fix
It is important to continue with the prescribed course of injections even if you do not feel immediate improvement
Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months
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