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This can last more than 12 weeks for patients starting at the standard titration schedule of: 0.25 mg weekly for 4 weeks, 0.5 mg weekly for 4 weeks, and 1.0 mg weekly for 4 weeks

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Use sterile needles and syringes for each injection Administer injections in a clean environment Monitor patients for immediate adverse reactions Monitoring for Adverse Reactions Its important to watch for bad reactions after B12 shots

Acknowledgments The authors would like to thank the Research Directorate and the Team of Reputation Improvement to World Class University at the Quality Improvement Office Universitas Gadjah Mada

Regulated body-identical HRT preparations (containing 17-oestradiol and micronised progesterone) are available on the NHS and should not be confused with unregulated compounded bioidentical hormones, which are not recommended