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Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required

This tells the calculator how much active compound is available before reconstitution

Manufacturer overfill typically adds 515% more peptide than labeled, so a 50mg vial may contain 5255mg

This guide walks you through everything you need: who should self-inject, the supplies you'll gather, the four safest injection sites, a detailed step-by-step procedure, aftercare, side effects to watch for, and an FAQ that answers the questions patients ask us most often at ThinWorks

The Research Goal: Is the study looking for a minimal effective dose or a maximum tolerated dose