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Clean the injection site with an alcohol prep pad, pinch a fold of skin, insert the needle at a 45-90 degree angle (depending on body fat levels), inject slowly over 3-5 seconds, and dispose of used syringes immediately in a sharps container

[5] If your Shop Vac is extremely dirty or smells bad, mix 1 US gal (3.8 L) of warm water with 1 4 cup (59 mL) of bleach, then use your mixture to clean out the canister

3 The Schilling test also has fallen out of favor because it is complicated to perform, the radiolabeled vitamin B 12 is difficult to obtain, and interpretation of test results can be problematic in patients with renal insufficiency