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Sterile water only lasts 24 hours

The injection site may be numbed with a local anesthetic to minimize discomfort

However, supplements only To assess for a vitamin B12 deficiency, a doctor will likely: ask about symptoms carry out a physical examination do a blood test to measure B12 levels and check for anemia do other tests to rule out other conditions and check for pernicious anemia, if necessary Some people will have a B12 deficiency but no symptoms

Thymosin alpha 1 has been utilized in the treatment of immunocompromised states and malignancies, as an enhancer of vaccine response, and as a means of curbing morbidity and mortality in sepsis and numerous infections