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Apply gentle pressure with a clean alcohol pad if any bleeding occurs (typically minimal to none)
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Most patients use U-100 insulin syringes for precise dosing, but the correct syringe depends on the volume prescribed
Treatment based on symptoms instead of blood values The recommended treatment in the Netherlands consists of a hydroxocobalamin injection of 1mg every two months, after an initial loading dose of 10 injections in 5 to 10 weeks