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For standard research protocols, the 10mg vial at 41,400 is the most accessible option at $9.00 per mg

Additionally, certain peptide sequences may be recognized as foreign by the immune system, increasing the likelihood of unwanted immune reactions

It requires no violence

Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement

To understand why GP practices sometimes differ from these guidelines and what that can mean for you, you can read more about the nuances of B12 guidelines

Commonly 2mg, 5mg, or 10mg per vial