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That's required for good governance and patient safety
And like you say, the B12 might not be the cause

For someone on a 0.25mg weekly dose, that is a 40-60% dosing error from a nearly invisible syringe misread

Leckford (Old Course), Hampshire, England (Harry Colt/1929) Experts take: A brilliant design by a brilliant designer (Harry Colt of Muirfield and Wentworth fame), Leckford has been largely untouched since its original design in 1929
10.1080/15569543.2021.2024576 294 VickersN

Our pen format is designed to reduce handling steps and limit contamination risk
