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Where appropriate, we can arrange testing or review recent blood results before treatment

Many patients with B12 deficiency, especially those with pernicious anemia, have difficulty clearing cyanide
It is possible for someone to need more than one injection with an epinephrine pen

The effective cost per therapeutic dose likely favors injection when bioavailability discounting is applied

Progressive neurological deficits: If weakness is worsening despite treatment, medical evaluation is essential
