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Patients should be knowledgeable about injecting vials or Ampules and use a disposable syringe to administer.

[8] For stainless steel or heat-safe glass, submerge in boiling water for 10 minutes, plus 1 minute for each 1,000 ft (300 m) of elevation above an altitude of 1,000 ft (300 m)

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Instead, vegetable sources of B12 actually contain B12 analogs, which block the absorption of B12 and increase the bodys need for it (source)

Older adults, as well as those with digestive issues or who are vegan or vegetarian, could struggle with B12 deficiencies