Physical integrity: Check that the vial stopper is intact and the aluminum crimp seal has not been disturbed before use
This means fewer injections are needed compared to cyanocobalamin, which is cleared from the body more rapidly
Eligibility, medication selection, formulation, dosage, administration schedule, monitoring, treatment length and cost depend on the patients medical history, current medications, treatment goals, pharmacy availability and clinical appropriateness
Supplementary tablets can be taken to account for a lack of Vitamin B12 in the diet
In the U.S., injectable B12 (cyanocobalamin and hydroxocobalamin) is only available with a prescription, as regulated by the FDA