As your B12 levels stabilize, the injections may be administered less frequently
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)
Most laboratory protocols recommend reconstituting a 30mg total mass vial with 2mL of sterile bacteriostatic water
In some patients, especially those with thicker subcutaneous fat, injections given in this area may also fail to reach the muscle properly, which can affect medication absorption
Insulin resistance, the metabolic syndrome, and risk of incident cardiovascular disease
Once dissolved, aliquot the solution into single-use microcentrifuge tubes to avoid repeated freeze-thaw cycles