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The FDA-designated label for cyanocobalamin states that it can be given either intramuscularly or subcutaneously

The advantage of subcutaneous injection is that it is easier to learn at home and less painful

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(See Figure D) Step 5: Check the expiration dates (EXP) on the: (See Figure E) 1) EGRIFTA WR vial label 2) Bacteriostatic Water for Injection bottle Step 6: Remove the plastic caps from the vial and the bottle

Check the powder color (should be blue to blue-purple), look for a third-party COA, verify HPLC testing, ensure the packaging is amber glass, and buy only from suppliers that disclose concentration and batch numbers