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People with documented malabsorption disorders including Crohns disease, celiac disease, or those whove had portions of stomach or small intestine removed need direct delivery

Rather than using the standard 0.25 to 0.5 mg daily dose, micro-dosing protocols employ significantly smaller amounts, typically ranging from 0.1 to 0.15 mg per administration

Each mL of sterile aqueous solution contains: Cyanocobalamin (B12)..........3000 mcg With sodium chloride 0.22% w/v, ammonium sulfate 0.1% w/v, citric acid 0.01% w/v, sodium citrate 0.008% w/v, and benzyl alcohol 1.0% v/v (preservative)

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Patients with clinically confirmed deficiencies may begin with weekly injections and then transition to a maintenance schedule