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We do not treat patients with a known hypersensitivity to cobalamin or cobalt, patients with a rare condition called Leber's optic atrophy, or patients who are pregnant or breastfeeding without GP sign-off

While a single early injection is not a burden, a GP practice has to consider the potential for every one of their Pernicious Anemia patients to make similar requests, each requiring an individual assessment and schedule adjustment

Pernicious anemia is caused when someone doesnt make enough of the protein intrinsic factor, which helps the intestines absorb B12

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