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Darkening initially started on the palms and feet [Figure - 1] and then gradually involved the face, gums and tongue

25-27 gauge, 5/8 inch for subcutaneous (SC) Alcohol prep pads Sterile gauze or cotton balls A small adhesive bandage A puncture-resistant sharps container (required for safe needle disposal) Keep your vials somewhere cool, dry, and dark a cupboard or drawer held roughly between 15 C and 29 C (about 5985 F) works well, away from windowsills and temperature swings

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Let it sit for a minute if the powder does not dissolve right away

Hypersensitivity reaction to cyanocobalamin