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Drawing the Medication Swab the Vial : Cleaning : Use an alcohol swab to clean the rubber stopper on the top of the B12 vial

doi: 10.1016/j.jff.2021.104774 146

Camus AM, Geneste O, Honkakoski P et al (1993) High variability of nitrosamine metabolism among individuals: role of cytochromes P450 2A6 and 2E1 in the dealkylation of N-nitrosodimethylamine and N-nitrosodiethylamine in mice and humans

The concept of "normal" is based on the middle 95% of results, fitting within a typical bell-shaped curve

Besides the acute phase gastrointestinal effects which may lead to up to 10% of people discontinuing the drugs, there are other potential GI side effects of obstruction, excessive loss of muscle mass, and potentially association with some eye disease adverse events

Perhaps it could be both, right