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Bacteriostatic water should be taken with a sterile syringe and slowly added to the vial with the lyophilisate, directing the stream along the inner wall of the vial

B12 inclusion addresses the nutritional component of fatigue but does not fully prevent the physiological adaptation period

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This case highlights the importance of timely treatment, such as administering vitamin B12, to avert possible neurological complications, underscoring the critical need for early diagnosis

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