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Some practitioners prefer it because of this, arguing that patients with certain metabolic variants may convert cyanocobalamin less efficiently

Direct the water against the inner wall of the vial as it is injected never onto the lyophilized cake, since direct impact foams the solution and denatures compound at the air-water interface

Use alcohol swabs on vial stoppers before drawing solution

Both pills and injections have excellent safety profiles

Compound Information Recommended Dose: 5002000mcg

BSH Guidelines for the diagnosis and treatment of cobalamin and folate disorders: Treatment of established cobalamin deciency should follow the schedules in the BNF (Grade 1A)