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Discard after twenty-eight days
Long-term deficiency may cause nerve damage and if treatment comes too late, the damage may be irreversible (Rizzo et al., 2016)
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Providing only one form still supports all B12-dependent processes in individuals with normal conversion capacity
Many protocols start at low daily subcutaneous doses and adjust based on tolerability, symptoms, and follow-up laboratory assessment
Adults under 130 lbs may use a 28-30 gauge inch or 25g 5/8 inch needle to get Intramuscular benefit
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