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So the practical takeaway is not oral is better or SC is better. It is: pick one route, follow the documented per-dose figure for the vial you have, and keep the route constant so that whatever you observe is not confounded by a mid-stream route change
PRECAUTIONS Doses of cyanocobalamin exceeding 10 mcg daily may produce hematologic response in patients with folate deficiency
Maintain sterile technique throughout the handling process
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