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Important Considerations and Nuances While the reasons above are the general basis for the refusal, its also important to note: Patient Symptoms: A patient with Pernicious Anemia may feel their symptoms returning before their scheduled injection

At that precision level, even a slight tremor in your hand or a small air bubble changes your dose significantly

Leaner individuals may prefer a 31-gauge, 5/16 inch needle to avoid reaching muscle tissue

Safety data in humans is limited, and therapy should only be considered under licensed medical supervision though research is still ongoing

Link Cox HD, Smeal SJ, Hughes CM, Cox JE, Eichner D

Vitamin B12 injections are typically given intramuscularly in the upper arm, thigh, or hip area