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Neurological symptoms can include tingling or numbness in the hands and feet (peripheral neuropathy), a sensation often described as "pins and needles"

to Adrenaline ........................1 mg Water for Injection BP

When assessing for vitamin B12 deficiency, in addition to checking a vitamin B12 level, consider ordering a methylmalonic acid level or a holotranscobalamin level and CBC (to assess for red blood cell size)

After cleaning the area with an antiseptic solution, local anesthetic is infiltrated subcutaneously at the needle insertion site

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