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[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections

For each eligible study, two authors (MM and AN) independently extracted data, which was then reviewed by a third author (JV) using a piloted spreadsheet, in accordance with Cochrane Collaboration guidelines ( Where relevant data were missing, attempts were made to contact corresponding authors

A diagnostic colonoscopy is ordered

Rotate injection sites systematically

If you cant find saline, you can order a supply of twelve 10 ml vials from us for $35, shipping included

Use a sterile, new needle with each injection