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For these reasons, the DG muscle is no longer recommended for IM injections in spite of this, many nurses continue to use it (Ogston-Tuck,2014

If you are self-supplementing with high doses, discuss this with your GP to ensure it is appropriate and safe for your individual circumstances

These were purely designed to save money and had nothing to do with patient care, this situation needs an urgent overhaul

The effects of thiamin and its phosphate esters on dopamine release in the rat striatum

Cost Comparison Let's look at the real costs over one year: B12 Injections: Doctor visits: $50-150 per visit 12-52 visits = $600-7,800/year Or self-injection supplies: $200-400/year Time cost: Travel and appointments B12 Oral Spray: Daily spray: Approximately $15-30/month = $180-360/year Time cost: 30 seconds per day at home The savings with oral spray are substantial, especially when you factor in time and convenience