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Patients should avoid injecting into the same spot repeatedly and maintain a rotation schedule, waiting at least one week before returning to a previously used site

Patient Variation in Pernicious Anaemia, as Shown in a Clinical Trial of Cyanocobalamin, Hydroxocobalamin and CyanocobalaminZinc Tannate Variation between patients makes it impossible to anticipate the duration of effect of a single injection of one of these drugs in any patient