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The volume of diluent (D5W or 0.45% sodium chloride) needed to be adjusted based on weight to avoid fluid overload, and hyponatremia: 520 kg: 3 mL/kg 5% dextrose in water infused over 60 min

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Because Vitamin B12 is water-soluble, it is exceptionally safe for most clients

Changes are typically gradual and compound over time

The determination of whether any program is clinically appropriate rests entirely with the independent licensed provider who evaluates each individual intake