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Anaemia, megaloblastic | Treatment summaries BNF NICE

If your doctor or health care provider is just rapid firing it in (which is always more painful), hitting the bone, you have Botox running down your face, it is more painful than when you get it done with other providers, or you get eye-lid droopiness (ptosis), you should think about moving on to someone with a more refined technique

Also notes it is excreted in breast milk but is safe at nutritional levels)

It can be used alongside caloric restriction without exacerbating hunger, combined with exercise programs without compromising fueling needs, or integrated with behavioral nutrition approaches that rely on intact hunger and satiety signaling for long-term habit formation

Generally, needles should be 1 inch to 1.5 inches for an adult and will be smaller for a child