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See Figure 18.34 [6] for an image of an intramuscular injection being administered at the vastus lateralis site

Table 1 Main indications and administration routes for B 12 treatment Evidence from animal and human studies shows that B 12 also has neuroprotective and anti-inflammatory properties,15 and intervention studies in humans have reported beneficial effects of better B 12 status or B 12 therapy in multiple sclerosis,16 Parkinsons disease,17 myalgic encephalomyelitis,18 autism,19 and (administering very high doses of methylcobalamin) in amyotrophic lateral sclerosis.20 Subcutaneous administration is sometimes recommended when intramuscular injections are contraindicated, for instance, in people using anticoagulants

This procedure involves removing the damaged portion of the biceps tendon and reattaching the remaining distal portion to the proximal humerus

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Potential Lipotropic Injections Side Effects As with any injectable therapy, lipotropic treatments may carry a risk of side effects