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In obese patients, 1.5 to 2 inch needles may be necessary.** For SQ (subcutaneous) injections you would typically use a 25 to 27 gauge needle 3/8 to 5/8 inches long for adults and children alike

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Not for human consumption, medical use, or diagnostic purposes

products often lack quality control, raising fears of contamination, incorrect dosing, or dangerous ingredients, with the FDA warning against compounding it due to insufficient safety data

Journal of Colloid and Interface Science 650:1879-1890

There are rare case reports linking high-dose B12 supplementation to acne flares, possibly through effects on skin bacteria that produce inflammatory compounds