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IM injections are delivered into a large muscle group, typically the thigh, gluteal muscle, or upper arm, and are absorbed over a period of minutes to hours

Luke's Hospital lists the following drugs as those that might possibly interact with B12 injections

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Benefits Levocarnitine (L-Carnitine) What it is A naturally occurring compound that facilitates the transport of fatty acids into cells, where they are converted into energy

L-type calcium channels can then provide an initial rise in intracellular calcium and trigger the ryanodine receptors to release calcium stored in the sarcoplasmic reticulum (SR) and increased contractility