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NICE guidance on obesity (CG189) and associated quality standards emphasise the importance of structured follow-up for patients who have undergone bariatric procedures, including regular nutritional blood tests and access to dietetic support

additional injections of vitamin B12 on the same day as pemetrexed or pralatrexate treatments as needed

Google Scholar Heldner MR, Zuurbier SM, Li B

If the vial sits out for a few hours while you are drawing doses, that is fine
