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Suggested starting points to discuss with your clinician Deficiency without malabsorption: 1,0002,000 mcg oral cyanocobalamin daily until normalized, then weekly or monthly maintenance per labs (AAFP)
Each ml contains 3,000 mcg cyanocobalamin
Simultaneously, even well-stored peptides undergo gradual hydrolysis, a chemical reaction with water that cleaves peptide bonds and creates inactive fragments
It is usually given intramuscularly (IM), but IV use may occur in hospitals
Insufficient human clinical trials have led to a lack of data to determine a safe dose
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