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When to increase dose Consider increasing if: Minimal response after 4-6 weeks at current dose No side effects at current dose Current dose below the higher end of recommended range Goals not being met with conservative approach Increase gradually, typically by 25-50% at a time

This would likely occur shortly after the injection (within minutes to an hour)

For use under the supervision of a qualified healthcare professional

You may also have bruising, but it will heal quickly as well

Drawing the Medication Swab the Vial : Cleaning : Use an alcohol swab to clean the rubber stopper on the top of the B12 vial

Shoulder Impingement Syndrome Impingement occurs when tendons or bursae get pinched between bones during arm movements