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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

It's not so much that medics have a misunderstanding about B12 being available from liver stores in PA, so much as that, as far as I'm aware, the process of B12 mobilization from the liver is just not well understood

Identification of Nicotinamide N-Methyltransferase as a Novel Serum Tumor Marker for Colorectal Cancer

The Centers for Disease Control and Prevention (CDC) provides guidelines to ensure safe use and prevent patient harm from improper use