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Rotate sites to prevent irritation
Where deficiency is confirmed, treatment may include oral supplementation (for dietary insufficiency or mild malabsorption) or intramuscular hydroxocobalamin injections (for pernicious anaemia or severe malabsorption), as per NICE and British Society for Haematology guidelines
This pushes any bacteria away from the area where the needle will enter
This timing may enhance fat oxidation during exercise by ensuring peak metabolic activation coincides with physical activity
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