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Some practitioners use the Z-track method (pulling tissue aside before injection) to prevent leakage

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Unexpected adverse events should be reported to the FDA MedWatch program

Once blood levels and symptoms improve, the doctor may discontinue the injections and advise maintaining levels with oral supplements or diet

One of the things they found was when B12 serum levels drop below 550 pg/mL, cerebrospinal fluid levels of vitamin B12 become low

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