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Recruited patients will be instructed to minimise alcohol intake to 2 standard drinks/day whilst they are participating in the study

If the elevation is unexplained, reducing B12 isnt the goal

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Since nausea and fatigue tend to peak 12 to 48 hours after injection, choosing a Friday injection means the worst of any side effects falls on the weekend for most people

[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause