The back of the upper arm, in the fatty area between the shoulder and elbow, works well but is harder to self-administer
Secondary outcomes Five included studies comprising 3605 patients reported change in MCV, four studies comprising 140 patients reported change in homocysteine levels, four studies comprising 3588 patients reported change in platelets count, and only three studies with 3430 patients reported change in WBC count
Par voie injectable intramusculaire (IM) , commencer par 1 ampoule par jour ou 3 ampoules par semaine (10 ampoules au total) en traitement d'attaque, puis 1 ampoule par mois en entretient
This is due to the complex composition
to severe physical symptoms such as anemia, paralysis, dementia and other cognitive disorders