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In general cyanocobalamin isn't retained as long as hydroxocobalamin so maintenance dosing tends to be more frequent - think in the states they tend to do loading doses as daily for one or two weeks followed by weekly for a few months and then monthly

Think of it like adding insulation around a pipe

Prescriptions are provided only if deemed appropriate by the doctor during your consultation

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These statements have not been evaluated by the FDA

Self-injector devices, for example, are designed to give the shot with the simple push of a button, which can feel much less intimidating