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Because a 4.5 mg dose uses almost the entire vial, plan vial supply accordingly

Push the needle through the stopper at an angle in order to direct the stream to the side of the vial

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Common symptoms include: Fatigue and weakness Anemia Neurological issues such as numbness or tingling in the hands and feet Cognitive difficulties and memory problems Glossitis and mouth ulcers Moreover, prolonged deficiency can lead to severe health complications, such as pernicious anemia and neurological damage