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In these cases, your GP should arrange intramuscular hydroxocobalamin injections according to NICE guidelines, with the regimen depending on whether neurological symptoms are present (as detailed in the previous section)

Pycnogenol is also available under generic labels (sometimes just called pine bark extract) ensure its a high-quality extract with standardisation similar to Pycnogenols (65-75% proanthocyanidins)

These reactions are mediated by the IgE pathway which results in an immediate reaction and the following recommendations do NOT apply for those reactions

The answer depends on exactly what shade you are looking at, what your pharmacy told you to expect, and whether the color has changed since you first opened the vial