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Pernicious Anemia: Parenteral vitamin B 12is the recommended treatment and will be required for the remainder of the patient's life

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On the injectable side: using plain sterile water instead of bacteriostatic water (your vial will grow bacteria within days), shaking the vial during reconstitution, injecting into the same spot every time, and going intramuscular when subcutaneous is the correct depth

Front Endocrinol (Lausanne) (2019) 10:83:83

The advisory notes these products are being marketed online and on social media for anti-aging, weight loss, injury recovery, sleep, mental focus and general wellness, and that Health Canada has already seized several of them