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the licensed UK product is Cobalin-H or Neo-Cytamen , both 1 mg/mL ampoules) A drawing-up needle (typically 18G or 21G blunt-fill or filtered) to draw from the glass ampoule without coring the rubber stopper or fragmenting glass An injection needle: 23G × 1 inch is the standard for adult IM administration, with a 21G or 22G acceptable for patients with thicker subcutaneous tissue requiring deeper insertion A 1 mL or 2 mL syringe, Luer-lock preferred for the connection between the drawing-up needle change and the injection needle change An alcohol prep pad A sharps bin The Cobalin-H glass ampoule has a printed dot indicating the snap point

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