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Shake or tap all the red fluid into the bottom part of the ampoule Figure B: tap the ampoule Step 4

Compounded medications are not FDA-approved and are dispensed only when prescribed by a licensed provider

The choice between sterile water and bacteriostatic water is also important

Infusion therapy supports stable medication delivery over time, which can help reduce fluctuations in inflammatory activity that contribute to unpredictable symptom cycles

National Institute for Healthcare Excellence (NICE) guidance for the diagnosis and management of vitamin B12 deficiency, which will cover pernicious anaemia, is currently in development, due for publication in November 2023