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Clean the peptide vial and the bacteriostatic water vial before piercing either

Key discussion points, rooted in scientific evidence and collective clinical judgment, were distilled into expert recommendations for each topic and summarized in this document

Clin Exp Hypertens 42:118125

doi: 10.1016/j.arr.2008.04.001

Review supplementation If elevated B12 results from excessive supplementation: Discontinue or reduce high-dose supplements unless medically indicated For patients receiving therapeutic B12 injections for confirmed deficiency, continue treatment as prescribedelevated levels are expected after replacement therapy and do not indicate toxicity Review with GP to ensure supplementation remains appropriate 3