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Neither compound should be considered a licensed medicine in the UK, and both require careful scrutiny before any consideration of use

Preparation: Lay out all your tools on a clean surface

Intramuscular therapy leads to more rapid improvement and should be considered in patients with severe deficiency or severe neurologic symptoms

Contraindications Pregnancy, lactation, active or history of cancer, severe hepatic or renal impairment, uncontrolled hypertension

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