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Rotating your injection site each weekswitching between the abdomen, thigh, and upper armcan help minimize local irritation

Studies have shown it decreases TNF-alpha and IL-6 production in lung injury models and reduces inflammatory cell infiltration in various tissue types

2013 Apr;121(4):234-8

JAMA (2020) 324(13):131729

Pernicious Anaemia is Lifelong: If your deficiency is due to pernicious anaemia (lack of intrinsic factor), B12 injections will be lifelong, as the underlying absorption problem is permanent

Any changes in seizure frequency or character should prompt neurological reassessment