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Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

Heres what NICE does: Develops guidelines: They create evidence-based guidelines on a wide range of health and social care topics, such as treatments for diseases, diagnostic tests, and care pathways

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Maybe your nausea is worse when you inject on Monday evenings versus Saturday mornings