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This form can be used directly in the body, without need for conversion, and is better utilised than cyanocobalamin (5)

The procedure is also routinely performed in outpatient hospital clinics (POS 22 or 19), ambulatory surgery centers (POS 24) when imaging guidance or sterile technique is required, and emergency departments (POS 23) when aspiration is medically necessary to rule out infection or manage acute swelling

What to watch: Unusual changes in white blood cell count or differential could signal immune activation that warrants attention