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Improper Lifting: Bending at your back instead of your knees can cause immediate injury

Step 3: Inject (Subcutaneous) 1.Clean injection site with alcohol swab 2.Pinch a fold of skin (abdomen is easiest for beginners) 3.Insert needle at a 45-degree angle 4.Push plunger slowly and steadily (3-5 seconds) 5.Release skin fold, withdraw needle 6.Apply light pressure with alcohol swab if needed Best injection sites for beginners: Lower abdomen (2 inches from belly button) easiest, least painful Outer thigh good alternative Back of upper arm harder to reach solo Rotate sites each injection to avoid tissue irritation

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Weekly injections in this phase are important for: Keeping B12 stores full Watching how the patient responds and adjusting as needed Starting to move to less frequent injections Maintenance Phase: Monthly Injections After the first two phases, maintenance therapy starts with monthly injections

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