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The line between "take Miralax" and "call the doctor" is usually whether symptoms are progressive, severe, or accompanied by red flags like vomiting or inability to pass gas
Insert the needle at a 45-degree angle to the skin
Testing for B12 deficiency is recommended in symptomatic patients or those with risk factors
Advise patients to keep all follow-up appointments for injections and labs
In most cases, the evaluation turns up a manageable or benign explanation
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