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What is the planned follow-up, and when would adjuvant therapy like chemotherapy begin

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Here is a revised and more accurate explanation of the reasons a UK GP surgery might refuse to give a B12 injection a day earlier than scheduled, incorporating the points youve raised and providing a more scientifically grounded perspective: 1

The physical trauma of needle insertion damages nearby mast cells, causing direct release

[DOI] [PMC free article] [PubMed] [Google Scholar] 93.Hsieh M.J., Lee C.H., Chueh H.Y., Chang G.J., Huang H.Y., Lin Y., Pang J.S