Annals of Internal Medicine
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you have simply diluted the concentration
Salinas et al 27 The traditional treatment of vitamin B 12 deficiency is the intramuscular injection of cyanocobalamin, generally, 1 mg/d for 1 week, followed by 1 mg/wk for 1 month, and then 1 mg every 1 or2 months ad perpetuum
Hydroxocobalamin appears as dark red orthorhombic needles or as an amorphous or crystalline red powder
By combining these agents in a single injection, the formulation may improve patient adherence to treatment protocols while potentially reducing the burden side effects or and multiple injections or medications, as determined by necessary by the prescribing physician