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concentrations greater than 60 M were not tested due to known cytotoxic effects in 3T3-L1 cells (see Figure 1)

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doi:10.1155/2011/297315

Nursing care: Use proper IM technique, rotate sites, educate patient on side effects and schedule

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This bypasses the GI tract entirely, which is the whole point: it's designed for people whose digestive system can't absorb B12 reliably
