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Intramuscular (IM) hydroxocobalamin is recommended for the initial treatment of vitamin B12 deficiency
The time it takes for B12 treatment to work depends on several factors, including the severity of deficiency, the route of administration, and individual patient characteristics
Normal saline for injection, USP is also used as a primary solution in hemodialysis
The evidence is promising but mostly preclinical, meaning much of it comes from animal and laboratory research rather than large human trials
Klicek R, et al
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