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Do not use the medication

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A clinician then removes the needle, applies light pressure and disposes of the sharp safely in a sharps bin

Medication & Condition Review: Peptide therapy may not be appropriate for patients with certain medical conditions or those taking specific medications

Intramuscular (IM) B12 injections using hydroxocobalamin, the preferred licensed form in the UK are recommended when: Oral supplementation has failed to correct a documented deficiency The patient has difficulty adhering to daily oral regimens Serum B12 levels remain persistently low despite adequate oral dosing There is clinical evidence of neurological or haematological complications In line with BNF guidance, the standard IM regimen for confirmed deficiency without neurological involvement is a loading course of 1 mg hydroxocobalamin on alternate days for two weeks , followed by maintenance of 1 mg every three months

Given the nature of syringes and needles, the procedure can be quite delicate and potentially painful