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Diabetes Care 46 , 15011506 (2023)
Hydroxocobalamin is the standard UK preparation, administered intramuscularly for conditions like pernicious anaemia and gastrointestinal malabsorption B12 acts as a cofactor in DNA synthesis, red blood cell formation, and nervous system function, supporting energy metabolism pathways Common side effects include injection site reactions, mild gastrointestinal upset, and temporary urine discolouration, with serious reactions being rare NHS access requires GP assessment with blood tests
Room temperature storage is explicitly approved for up to 56 days
Key Takeaway Sulphur burps on GLP-1 injections are common but usually short-lived
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