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Reasonably good health with caveats

Administering equine injections should be done by a qualified veterinarian or under their guidance to ensure proper dosage and safety.

Patients on Specific Medications: Certain medications, like proton pump inhibitors or metformin, can interfere with B12 absorption, making monitoring and supplementation necessary

Training clinical staff on a regular basis will make sure that the type of anemia and treatment directions are being documented properly

Although 7075% of people make a full recovery without treatment, taking a corticosteroid called prednisone increases the chance of full facial recovery to 82%