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There are practical reasons too: B can be unstable if mixed with certain other vitamins in solution, and dosing schedules for B deficiency (pernicious anemia, for instance) may differ

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If you occasionally miss your scheduled injection by a day or two, inject as soon as you remember, then resume your regular weekly schedule from that point

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If the side effects are persistent and severe at the 9 mg or 25 mg dose, consult with your healthcare provider for medical guidance