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Green et al 26 Severe clinical abnormalities should be treated intensively with B 12 , cyanoB 12 or hydroxyB 12 : HydroxyB 12 is commonly used in Europe, often at intervals of 23 months, as it seems to have better retention than cyanoB 12

Cyanocobalamin demonstrates superior stability in solution, particularly when exposed to light or temperature fluctuations

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I think that any type of injectable will require a prescription

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Protocols grounded in clinical evidence not trends