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When you inject into the arm (deltoid) your main goal will be to penetrate the muscle and then slowly deliver the vitamin B12 into the muscle, and then extract the needle at the same 90 degree angle that you inserted it
Even though the NICE Guideline says that patients may need more frequent injections GPs are still largely ignoring or unaware of this guidance
Vitamin B12 is essential for many bodily functions, including energy production, mood regulation, and red blood cell formation
[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes
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