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5.3 Preclinical safety data Not Applicable 6 PHARMACEUTICAL PARTICULARS 6.1 List of excipients Potassium cyanide, Sodium hydroxide solution 6.2 Incompatibilities Not Applicable 6.3 Shelf life 3 years 6.4 Special precautions for storage Store between 2 - 8 C in a refrigerator

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Summary: B12 and lipo shots combine vitamin B12 injections with lipotropic compounds, but only B12 injections are licensed NHS medicines for treating confirmed deficiency, whilst lipotropic injections lack MHRA approval and clinical evidence

[51] Diagnosis [edit] According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)