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Listening to the heart and measuring the rate and rhythm of the heartbeat, listening for heart murmurs, checking for swelling in the feet, and taking the pulse can all aid in the diagnosis of arrhythmias (NHLBI 2011a)

The latter was already observed within 3 days of treatment

(Youll need to re-inject at a different point if you hit a blood vessel.) Assuming no blood vessel has been hit, begin to slowly compress the plunger top, injecting the B12