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Pancreatic disease: Pancreatectomy leads to the clearest example of secondary diabetes

You should also contact your GP if: You are unable to attend scheduled maintenance injections, as missing doses can lead to symptom recurrence You develop new symptoms that might indicate other deficiencies or health problems You are planning pregnancy, as B12 requirements may change You experience persistent side effects such as headaches, dizziness, or gastrointestinal symptoms If you experience any side effects, talk to your doctor, pharmacist or nurse

People without diabetes lost an average of 20% of their body weight on average over about 16 months, which is a significant amount for a medication

After reconstitution, refrigerate the vial at 28 C, protect it from light, use it within a few weeks, and never freeze a mixed vial the full detail is in the storage guide