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These include: Inappropriate dosing or frequency Lack of proper diagnosis and monitoring Non-sterile injection technique increasing infection risk Absence of medical supervision for adverse reactions Financial cost without clinical benefit Patients should report any suspected adverse reactions to B12 injections via the MHRA Yellow Card scheme

Each vial contains 5-amino-1mq in lyophilised powder form to maintain stability during storage and transit

If an erection lasts more than 3 hours, also known as a priapism, seek urgent medical care

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