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inspect for discolouration or particles (note that B12 solution is normally red) Prepare the injection site common sites include the thigh (vastus lateralis) for both IM and SC injections, or the ventrogluteal area for IM administration if trained to use this site Administration technique: Clean the injection site with an alcohol wipe and allow to dry completely

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This does not replace hormonal therapy when it is clinically indicated

Additionally, loss of muscle mass during rapid weight loss can reduce the efficiency of muscle pumps that help return blood from the extremities to the heart, leading to blood stasis, particularly in the legs, which is a risk factor for deep vein thrombosis (DVT)

Zenteno Savn et al., 2006)

Diabetes medications such as Ozempic 1mg (Semaglutide) are used when diet, exercise, weight reduction and medications such as Metformin, Glyburide, or insulin have not been found to lower blood sugar well enough on their own