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Public Health Division of the Welsh Government reply We have received a reply from the Public Health Division of the Welsh Government re-assuring us that stocks of vitamin B12 injections are not affected by the current situation with COVID-19, and that when a patients has made an appointment, an assessment needs to be made on the day to determine whether the patient has any of the symptoms of infection
So is fatigue
If ice packs are partially melted but vials are still cool (below 15C), transfer immediately to -20C freezer
Importantly, these biochemical changes were not accompanied by behavioral recovery
They may suggest delaying dose escalation by an additional week or returning to a previously tolerated dose
