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Substituting sterile water for bacteriostatic water might seem like a viable option, but it's not always suitable

FACT 3 OF 6 IM injections for severe deficiency or absorption failure If your sublingual dose doesnt maintain serum B12 above 400 pg/mL, switch to intramuscular injections: 1,000 mcg monthly (more often initially if very deficient)

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[DOI] [PMC free article] [PubMed] [Google Scholar] 35.Hellman N.E., Kono S., Mancini G.M., Hoogeboom A.J., de Jong G.J., Gitlin J.D
