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Long-term steroids carry many potential risks, including bone fractures, effects on height and metabolism, and immunosupression

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Rare but serious problems can happen, and some medicines might not work right with B12 shots

Given that the majority of exposures were related to therapeutic errors and confusion surrounding how to use the pen that administers the subcutaneous injection, we recommend that health care providers offer patients more extensive education on pen usage, said Marshall, an assistant professor in the UAB Department of Emergency Medicine