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In the UK, intramuscular (IM) administration is standard practice for hydroxocobalamin, though subcutaneous (SC) may be used if specifically advised by your healthcare provider and following appropriate training

Instead, the amount of water used depends entirely on the drug or peptide being reconstituted

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It is also a good practice to use a new, sterile syringe for each use to avoid any potential contamination

It reduces pain and swelling significantly in the first weeks of the protocol

Use a new cotton ball to clean the surface of the container with the B12 solution