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2.5 Quality assessment and risk of bias In line with PRISMA guidelines, the assessment of methodological quality was conducted to evaluate the strength of evidence, recognising that methodological limitations may introduce bias

Next step If the topic still fits your goal after reading, the get-started flow should collect the clinical context needed for provider review

Be aware that B12 injections may cause muscle cramps or weakness

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For multi-dose vials used over weeks, bacteriostatic water is the standard because the benzyl alcohol preservative allows safe repeated draws without bacterial contamination risk