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The weakest spot on the ampoule is marked with a spot on the neck .If you have a problem with this procedure, a device called an ampoule opener , about 4.00 is obtainable from amazon.co.uk exchangesupplies.org also supply needles and syringes
If you are unsure how to proceed you can always take a series of 10 shots and then monitor your symptoms after you are done to see if they get worse on weeks 11-13

Influence of recent intake: Recent B12-rich meals or injections can temporarily raise serum levels, potentially masking a deficiency
