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Clean the injection site with an alcohol swab and allow to dry completely Pinch a fold of skin and subcutaneous tissue between thumb and forefinger Insert a 29 or 30 gauge insulin needle at a 45 degree angle into the pinched tissue Inject the solution slowly and steadily Withdraw the needle and apply gentle pressure if needed Rotate injection sites daily to prevent localized irritation Site Rotation Alternating between medial and lateral sides of the Achilles area prevents accumulation of scar tissue from repeated injections at the same spot

Prior to insertion, use a fresh alcohol wipe to clean the vial and let it dry Only touch the skin you intend to pinch Always use clean needles and dispose of old ones properly Keep vials and needles in a safe, secure place away from children Supplies: Vial or ampoule of vitamin B12 or B-Complex 27-29 gauge needle, 1/2 or 5/8 inch length (insulin needles commonly used) Alcohol wipes Gauze or cotton ball Bandage 1-2ml syringe depending on the injection quantity Sharps biohazard container or homemade sharps container for needle and syringe disposal Here are 12 easy-to-follow steps to self-administer a subcutaneous injection: The steps below are for informational purposes only and not meant as a complete how-to for subcutaneous injection

As a consequence of high levels relative to other organs, ALT is considered more specific to the liver than AST

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