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After a diagnosis of pernicious anemia, her doctor prescribes weekly B12 injections at a local clinic

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MICC injections can also help raise vitamin B12 levels in individuals who are deficient or need additional support

Acknowledgments We thank the Siddhi Memorial Foundation in Bhaktapur for providing excellent facilities to undertake this study

Options include booking accommodations with refrigerators (most hotels provide mini-fridges on request), using the 21-day room temperature allowance strategically, or carrying a portable injection system with proper cooling