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After an initial loading phase of six injections over two weeks (or more frequently if neurological symptoms are present), maintenance injections are given every two to three months for life to prevent deficiency recurrence

That is genuinely different from most peptides, which are destroyed in the gut and therefore have to be injected

(Dependent on patient's needs) Dose: 250 g (also known as micrograms(mcg))in cats and 250 2000 g (also known as micrograms (mcg))in dogs, depending on the size of the patient: For parenteral cobalamin supplementation: Protocol: weekly injections for 6 weeks, then one dose a month later, and retesting one month after the last dose( dependent on patient's needs) For either oral or parenteral supplementation, if the underlying disease process has resolved and cobalamin body stores have been replenished, serum cobalamin concentration should be supranormal at the time of reevaluation

Faculty is clean and all staff has been pleasant to deal with

Preferred for patients with MTHFR mutations (which are common in the general population) and for patients who want the most directly usable form

Maintain controlled access, storage, preparation, traceability, and disposal records