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Three (3) Year Shelf Life: Cobalex 2000 Injection is a very stable formulation with a 3-year shelf life from the date of manufacture

Pregnant or breastfeeding women: Our team is committed to making sure that the mother and child, including managing B12 levels during these critical periods

Contact your GP or oncology team if you notice: Sudden or rapid hair loss , particularly if occurring in patches (which may suggest alopecia areata, an autoimmune condition unrelated to tamoxifen) Scalp inflammation such as redness, pain, tenderness, or scaling which may indicate a scarring or inflammatory condition requiring specialist assessment Signs of androgen excess , such as new facial or body hair growth or acne, which warrant investigation Hair loss accompanied by other new symptoms , such as fatigue, unexplained weight changes, cold intolerance, or skin changes these may indicate an underlying thyroid disorder or other systemic condition Significant psychological distress related to changes in appearance, which warrants referral for appropriate support Hair loss that is persistent or worsening more than six months after completing chemotherapy, which warrants clinical review It is equally important that patients do not stop taking tamoxifen without consulting their oncology team