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Wipe the vial's rubber stopper with an alcohol swab before each use to reduce the risk of bacterial growth

This is because B12 is not a standard medication in the US or UK, so it is often made in small-scale compounding pharmacies rather than in large-scale manufacturing facilities

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2 Read our extended information on the Treatment of Pernicious Anaemia: Treatment of Pernicious Anaemia NICE Guideline: Vitamin B12 deficiency in over 16s: diagnosis and management March 2024 Devalia V, Hamilton M, Molloy A

You can find vitamin B12 in: Fish: Salmon (2.4 mcg per 3 oz) and canned tuna (2.57 mcg per 5 oz can) Red meat: Lean beef (6.9 mcg per 3 oz) Poultry: Roasted turkey (0.8 mcg per 3 oz) and ground lean turkey (1.6 mcg per 3 oz) Dairy: Low-fat yogurt (1.2 mcg per 8 oz) and low-fat milk (1.2 mcg per 1 cup) Eggs: One hard-boiled egg has 0.6 mcg of vitamin B12 When to Consider Supplementation Since red and organ meat (i.e., liver) have the highest concentration of Vitamin B12, vegetarians are at an increased risk of a deficiency

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