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1000 mcg/15 mL Usual Adult Dose for: Usual Pediatric Dose for: Additional dosage information: Usual Adult Dose for Pernicious Anemia Initial dose: 1000 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Duration of therapy: Life Comments: Administer concomitant folic acid if needed

These injections provide a combination of B12, methionine, inositol, and choline

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Do not shake vigorously agitation can cause peptide degradation through denaturation

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