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What were some of the changes you noticed in your skin once you started the medication

When you read 80M pens or units, note that there are 4 pens in each prescription received by a patient

Mild tingling immediately after application is normal for many active ingredients

The impact also depends on which week of your treatment cycle you miss a dose

Contact your GP immediately, call NHS 111, or attend A&E if you develop: Irregular heartbeat or palpitations that persist Chest pain or pressure Severe breathlessness Significant leg swelling These symptoms require assessment to determine their cause, which may or may not be related to your B12 treatment