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Or, if youre injecting subcutaneously, insert it into the skin at a 45 degree angle

For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement

You should discard Dupixent if its been: frozen exposed to temperatures over 77F (25C) left out of the fridge for 14 days or more Youll also need to discard Dupixent if the solution inside the pen or syringe is cloudy or discolored

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If you have a history of B12 sensitivity or specific medical conditions, mention that during your consult