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She has been deteriorating for a couple of years now, sleeps so much, has neck and back pain and hasnt been to work for 13 weeks (we first thought it was fibromyalgia, until she got worse even after exercising and looking up fibromyalgia advice online)

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Smoking markedly augments thrombotic risk with systemic estrogen, and maintaining routine exercise, a balanced diet, and regular blood-pressure checks may help lower cardiovascular complications

Proper training is very important for intramuscular injections in the shoulder (deltoid)

Because of its slow release properties, fewer injections may be required compared to other B12 forms such as cyanocobalamin

2004 May 1;79(5):727-47