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If no improvement appears after six months of consistent use, consider whether the protocol needs modification

For example, you shouldn't use this medication if you're allergic to cyanocobalamin or cobalt, or if you have Lebers disease, which is an inherited form of vision loss

An intramuscular (IM) injection delivers vitamin B12 directly into a muscle, usually in the upper arm, thigh, or upper buttocks

Long-Term Protocols: The most clinically relevant studies evaluated subcutaneous doses of 0.25 mg (250 mcg), 0.5 mg (500 mcg), and 1 mg (1,000 mcg) administered daily for 24 weeks