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HCPCS code J3490 helps resolve this issue

(If you can not inject the drug all at once to make half breaks inject 25 cc bottle of solvent by making two consecutive days until the bottle)

To administer via injection, clean the injection site with an alcohol swab, pinch the skin to create a fold, insert the needle at a 45-90 degree angle, slowly inject the solution, then withdraw and apply gentle pressure

So, patients must take vitamin B12 for life to manage their condition well