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Choose a spot on the upper arm, thigh, or another recommended area, and clean it with a fresh alcohol wipe

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You should be referred to hepatology if you have elevated fibrosis risk on FIB-4 or ELF testing, signs of liver decompensation (jaundice, ascites, confusion, bleeding), or complex management needs

[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections