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Step 4: Pinch and inject With your non-dominant hand, gently pinch about 1-2 inches of skin and subcutaneous tissue at the injection site
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It is safer to replace the vial instead of the danger of contamination
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[26] A complication of severe chronic PA is subacute combined degeneration of spinal cord, which leads to distal sensory loss (posterior column), absent ankle reflex, increased knee reflex response, and extensor plantar reflex response
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