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Standardization: The auto-injector pen is designed for ease of use, with a hidden needle that some patients find less intimidating than a traditional syringe used with compounded vials

Hence, cobalamin-related remethylation disorders are usually treated by intramuscular (IM) injections at an individually titrated, minimum effective dose

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Sterile, individually sealed vials

~ AlphaMD You changed your injection day from morning to evening and suddenly your sleep felt off, your energy dipped, and you were convinced the timing was to blame