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For patients who cannot access the injury site with a self-injection, abdominal injection with the understanding that response may be somewhat slower is a practical alternative

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Cyanocobalamin is given through intramuscular or subcutaneous injections

Doses Per Vial Vial duration varies by dose escalation phase: 3mg vial: At 0.25mg/week = 12 weeks At 0.5mg/week = 6 weeks At 1mg/week = 3 weeks At 2.4mg/week = 1.25 weeks 5mg vial: At 0.25mg/week = 20 weeks At 0.5mg/week = 10 weeks At 1mg/week = 5 weeks At 1.7mg/week = ~3 weeks At 2.4mg/week = ~2 weeks A 5mg vial can cover the entire first 4 months of a slow escalation protocol starting at 0.25mg

Both are widely searched in the Canadian research peptide market, both appear regularly in published research literature, and both anchor multiple combination formulations

E., Tresserra-Rimbau, A., Vallverd-Queralt, A., & Lamuela-Ravents, R