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They use a shorter, finer needle that only penetrates the fatty tissue, while IM injections go deeper into the muscle, which can cause more discomfort and soreness

Diagnosis, Staging and Surgical Treatment of Malignant Pleural Mesothelioma

Is it safe long term

Side effects [edit] The literature data on the acute toxicity profile of hydroxocobalamin show it is generally regarded as safe with local and systemic exposure

Here's the simple comparison