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** Individuals treated with parenteral vitamin B 12 can be taught to self-administer the injections, often with good results, minimal to no pain, and lower costs than office-based injection. 27 Folate treatment Refer to Table 6: Treatment of folate deficiency below for folate deficiency treatment options and the SOGC Guideline No

This is sometimes due to the back of the shoulder (posterior capsule) being tight

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