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The common technique mistakes Most problems trace back to a handful of errors: using the wrong needle length so the dose lands in fat rather than muscle, not cleaning the skin, injecting too fast, injecting at the wrong angle, or reusing a needle

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Peripheral nerves may be damaged by metabolic insults, immune-mediated mechanisms, toxic exposures, hereditary defects, compressive/entrapment forces, ischemia, infiltration, or infection

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This includes people with pernicious anemia, a condition where the body lacks intrinsic factors, making it impossible to absorb B12 from food