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Push the needle into the centre of the vial and slowly push the sterile saline into the vial with the HCG

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The sewer system is approximately 25 to 35 feet deep, and rehabilitation work is being done in a trenchless manner to avoid deep excavation along the pipe length and to minimize neighborhood and traffic disruption

For treatment of confirmed deficiency , NHS protocols typically involve hydroxocobalamin injections: initially 1mg three times a week for two weeks for those without neurological involvement, followed by maintenance injections every 2-3 months