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O2 saturation is fine but it hurts to breathe in

Motor stimulation (or EMG-style confirmation): can provide physiologic confirmation that the needle tip is in the intended muscle by eliciting a characteristic response, while also helping avoid an unintended sciatic nerve contact

Tensing up can make the injection more painful

Lipids 1864 , 113127 (2019)

Conditions that interfere with absorption include: Atrophic gastritis Pernicious anemia Gastrointestinal disorders such as Crohns disease or celiac disease These conditions can increase the risk of B12 deficiency even in individuals with a balanced diet

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