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High concentrations should be diluted with normal saline injection when administered intravenously
Rotating injection sites helps prevent lipohypertrophy (tissue buildup) and ensures consistent absorption
People with active cancer, thyroid disorders, or history of peptide hypersensitivity should not use it
If the patient needs to transport the medication (e.g., traveling), it should be carried in a cooler bag with ice packs to maintain the cold chain
Customized dosing
Certain medications can interfere with B12 levels too
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