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It wastes it, because you are injecting solution with reduced or unpredictable potency and calling it a full dose

[27] Additionally, anyone with Lebers hereditary optic neuropathy (a rare inherited eye disease) must avoid cyanocobalamin injections, since B can precipitate rapid worsening of that condition

Preparing the injection site involves cleaning with an alcohol swab
If the trigger point injection reduces or eliminates the pain, then the source of the pain is the local muscle that was injected
