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In advanced liver disease, serum B12 levels can appear misleadingly normal or even elevated due to increased binding proteins and reduced clearance, despite actual tissue deficiency

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Specifically, there are many factors determining how often the procedure should be done

Injections are delivered into a muscle that contains a rich blood supply

Video Reviews of Administering Intramuscular Injections: Z-Track Method [14] [14] IM injection Ventrogluteal Site [15] [15] This work is a derivative of Clinical Procedures for Safer Patient Care by British Columbia Institute of Technology and is licensed under CC BY 4.0 This work is a derivative of Clinical Procedures for Safer Patient Care by British Columbia Institute of Technology and is licensed under CC BY 4.0 by British Columbia Institute of Technology is licensed under CC BY 4.0