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while serum values of B12 seem to rise, none of the B12 is available for the body to use

GMP compliance audits are required for manufacturers

Tips for Reducing Injection Discomfort Allow the solution to reach room temperature before injecting Let the alcohol prep dry completely before inserting the needle Use a fresh syringe for each injection (re-used needles become dull and cause more pain) Insert the needle in one smooth, confident motion rather than pressing slowly Depress the plunger slowly and steadily Relax the muscles around the injection site Apply an ice cube to the injection site for 30 seconds before injecting to numb the area (optional) Safety Considerations Proper injection technique is important for both safety and effectiveness

Am J Clin Oncol 30(2):191-8, 2007