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Once you open a vial of sterile water, any unused portion must be discarded because theres nothing inside to stop opportunistic airborne contaminants from setting up shop and multiplying

The needle should go into the bevel for an intramuscular injection to ensure the medication is delivered into the muscle

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Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)