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Ste 110-106 Dallas, TX 75205 For questions or comments: [email protected] www.IT3-Medical.com Revised January 2016 PIN350-WES/1 Contents: 1 - Cyanocobalamin Injection, USP 1,000 msg/mL (1mL Vial) 2 - Isopropyl Alcohol Pads 1 - Pair of Sterile Surgical Gloves (sterile & latex free) 1 - Adhesive Bandage (sterile & latex free) 1 - BD Syringe (1 mL) w/ Luer-Lok Tip 1 - 22G x 1 BD Precision Glide Needle (draw) 1 - 30G x 1 BD Precision Glide Needle (administer)

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A responsible provider should discuss your medical history, current medications, allergy status, baseline B12 levels, the specific form of B12 being administered, and the expected benefits and risks before proceeding with an injection