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Its best to use one of the following areas (see Figure 1): Your abdomen (belly), except for the 2-inch (5-centimeter) area around your belly button The middle front or middle outside of your thighs The upper area of your buttocks (butt) The back part of your upper arms, if someone else is giving you the injection If your healthcare provider tells you to use a certain injection site, follow their instructions

Chang, C.-H., Tsai, W.-C., Hsu, Y.-H., & Su Pang, J.-H

Most are shipped as a lyophilized (freeze-dried) powder, which is the most stable form for long-term storage

Avoid exposing them to heat or freezing temperatures as it may affect the quality of the medication and reduce its efficacy

Then we can see if your vitamin B12 levels seem healthy and determine if injections are needed