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Key distinguishing features, such as a low reticulocyte production index (RPI), hypersegmented neutrophils in cases of B12 and folate deficiencies, dysplastic changes in MDS, and macrocytosis linked to liver dysfunction in alcoholism, can aid in differentiating these causes [9]

It's a treatment I've become increasingly passionate about over the years, not because it's a trend, but because the number of clients I see who are quietly running low on B12 without realising it is genuinely striking

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Dispose of needles and syringes in an approved sharps container, following local regulations and pharmacy guidance