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Never store a pen with the needle attached between uses always remove and dispose of the needle immediately after each injection, then replace the pen cap for storage

Vlahos R, Bozinovski S, Jones JE, Powell J, Gras J, Lilja A, et al

The risk of developing gout in those with asymptomatic hyperuricemia increases with higher serum urate level, and has suggested to be ~20% at 5 years in those with a serum urate of 9 mg/dL

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We actually prefer SQ because its painless and has an established track record of effective B12 delivery, whereas IM can be painful and tends to put people off self-injecting

Alteration in kinase activity but not in protein levels of protein kinase B and glycogen synthase kinase-3beta in ventral prefrontal cortex of depressed suicide victims