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During injection : use sterile technique, choose appropriate needle and site, monitor the patient for a short period afterward in clinic
90% of the time, it will resolve during that time, and its truly just a firm spot that was disrupted a bit more than the surrounding tissues during injection
FDA noted that reviewed CoAs from suppliers did not consistently include controls for impurities, aggregates, or bacterial endotoxins
The mechanism of action centres on B12's role as a cofactor in cellular metabolism
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