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Vitamin B12 deficiency, including pernicious anaemia, is commonly encountered in primary care and pharmacists should be able to identify those people most at risk, know the common symptoms and ensure that patients receive adequate and personalised treatment

These steps reduce the chance of persistent discomfort and lower the intensity of the local reaction

Improving levels may help emotional stability and wellbeing. 9

To support injection administration, records should include: Medication Information Medication name Strength Dosage National Drug Code (NDC), when required Administration Information Route Anatomical site Date and time Administration method Provider Documentation Physician order Medical necessity Patient response when applicable Additional Information Lot number for vaccines Manufacturer information when required Observation notes when necessary Strong documentation reduces denials and supports audit readiness