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22-25G for intramuscular), carries lower infection risk, and is technically simpler
These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs)
10.1016/j.jstrokecerebrovasdis.2016.10.012 170 ZhongO.WangJ.TanY.LeiX.TangZ
Over weeks, it's obvious
In pernicious anaemia, the immune system mistakenly attacks the gastric parietal cells that produce intrinsic factor, leading to B12 deficiency over time
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