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Journal of Pharmaceutics (2016) 12

Several cells appear to have the greatest demand for cyanocobalamin, particularly those that undergo rapid division such as bone marrow and epithelial cells

Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

And I did but hold that thought, because now we're going to talk about the sticky situation you can get yourself in if you don't do it right

Adding 2mL creates a 5mg/mL concentration that gives better precision at lower doses but requires split draws at 8mg and above