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Many patients have successfully learnt to self-administer B 12 by intramuscular injection, which reduces both healthcare costs and burden on GP practices, and allows people who are B 12 deficient to optimise their treatment regimen.6566 Case example A man in his 70s presents with a nine month history of difficulty walking and climbing stairs, numbness and pain in his lower limbs, and paraesthesia in his hands

doi: 10.1016/j.apsb.2018.01.007

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The practical math: a 40mg triamcinolone injection from a 40mg single-dose vial with no waste bills as four units of J3301 plus J3301-JZ as the zero-discard attestation

6 Heart Issues This can manifest as arrhythmias or palpitations, with a sensation of an abnormal or rapid heartbeat without an obvious cause