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For a subcutaneous B12 injection, a finer, shorter needle is used: around 25 to 27 gauge and half to five-eighths of an inch

Furthermore, backwashing will fail to effectively remove these fines

4 If vitamin B12 is lyophilized, such as in some forms of methylcobalamin, the medication should be refrigerated after mixing

Injections of micronutrient B12 at larger doses may be necessary for older persons to keep their vitamin levels appropriate

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