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If you have neurological symptoms (pins and needles, numbness, balance issues), severe fatigue, unexplained weight loss, chest pain, breathlessness, or symptoms that are worsening, you should seek medical assessment promptly.

Many do not, because the compound quality is unverified, the dose is based on internet research rather than clinical assessment, and there is no baseline, no follow-up, and no protocol adjustment based on individual response

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So am I right in saying this pretty much says I had abnormal/anaemic blood

If Methylcobalamin is left out of the fridge after being mixed it will not damage the medication