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If a medication is to be administered via the intrathecal/epidural route, only preservative-free diluents (such as sterile saline or sterile water) are appropriate

Over weeks, it's obvious

Notably, at-home treatment such as B12 injections will depend on the physicians recommendation whether a medical professional should administer the B12 injections or the patient can handle the task themselves after getting the prescription from the doctor or other trained professionals