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Unfortunately, such vitamin B12 injection dosage and frequency advice is common

Additionally, accumulation of cyanocobalamin metabolites may occur in severe renal impairment, though this is rarely clinically significant

Do not shake, as this will harm the peptide structure

Be prepared to titrate up slowly or drop back down if side effects occur

(More information) Normal function of the digestive system required for food-bound vitamin B 12 absorption is commonly impaired in individuals over 60 years of age, placing them at risk for vitamin B 12 deficiency

Note on scope: Approved benefits are established for HIV-associated lipodystrophy