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Medical professionals can avoid causing their patients unnecessary and avoidable harm by staying up to date on their vaccination knowledge and by practicing proper vaccination techniques, including correct placement

Physiol Rev 94:329354 Bianchi G, Caporali R, Todoerti M, Mattana P (2016) Methotrexate and rheumatoid arthritis: current evidence regarding subcutaneous versus oral routes of administration

This risk should be explicitly discussed with any patient considering a course of treatment

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