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[8] [19] Reference ranges may vary between laboratories Full blood count may show macrocytic anaemia, though this may be absent in patients with neurological involvement Methylmalonic acid (MMA) and homocysteine these metabolites accumulate in B12 deficiency and can confirm the diagnosis when serum B12 is borderline

Self Injection Instructions The easiest site when self-administering an IM injection is the middle third of the vastus lateralis muscle of the thigh

It may be possible in certain cases, but only with medical supervision

Occasionally, signs of acute toxicity may be absent for 1248 hours following administration, after which a critical phase may develop, characterised by pulmonary oedema, vasomotor collapse, cyanosis, acute hepatic failure, coma, and death of the animal