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Limits of the workup A B12 value alone neither confirms nor excludes malignancy, and clinical judgment decides whether to observe, repeat, evaluate further, or refer
Step 5: Let it dissolve naturally After adding the water, set the vial down
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Positive pressure inside the vial from repeated needle insertions can force contaminants back through the needle on subsequent draws, so always equalize pressure by injecting an equivalent volume of air before drawing liquid
