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Always reconstitute with fresh, pharmaceutical-grade bacteriostatic or sterile water, add it slowly down the inner wall of the vial, and swirl gently instead of shaking

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The NHS symptoms list groups them into general anaemia symptoms (tiredness, breathlessness, headaches, loss of appetite, weight loss) and neurological signs (peripheral neuropathy, balance problems, depression, memory and concentration changes, sometimes mood changes or psychosis in advanced cases)

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