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After care The carbon crusts that form immediately after treatment should not be touched for 6-7 days

Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

U.S department of health and human service, food and drug administration center for drug evolution and research (CDER)

If you have been feeling unheard, dismissed, or confused by conflicting advice, please know that your body is not broken

Medical supervision ensuring proper administration