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Individual circumstances: While guidelines are in place, a doctor is ultimately responsible for making decisions appropriate for each patient

Monitoring: A history of the patients allergies/hypersensitivity should be obtained before administering cyanocobalamin injection

(For ultrashort 4 mm needles, a 90 angle without pinching may be used, but for typical 812 mm needles, 45 with pinched skin is recommended.) Do not aspirate for subcutaneous injections [16]

Cautions: Federal law restricts this drug to use by or on the order of a licensed veterinarian

When to Seek Medical Advice Before Use Medical advice should be sought before any use, particularly by individuals with a history of thyroid carcinoma, MEN2, pancreatitis, diabetes, cardiovascular disease, renal or hepatic impairment, or pregnancy