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However the blood level of serum B12 rises regardless of therapeutic effectiveness

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For 8mg: 8 / 5 = 1.6mL = 160 units, which exceeds a standard 1mL syringe and requires either a split draw or a different reconstitution volume

Some users alternate between the affected shoulder area and a systemic site like the abdomen, reasoning that both local and systemic administration provide benefit

Avoid self-injection unless specifically trained