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Common injection sites: For Intramuscular (IM): Upper arm (deltoid) Outer thigh (vastus lateralis) often the easiest self-injection site Upper outer gluteal muscle usually requires assistance For Subcutaneous (SQ): Abdomen (at least 12 inches away from the navel) Outer thigh Back of the upper arm What are the side effects

However, due to uncertainties and lack of evidence on multiple aspects related to the diagnosis and treatment of vitamin B12 deficiency, widely accepted guidelines are still needed due to between-country differences in medical practices, healthcare systems, and generally limited resources

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