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Intramuscular hydroxocobalamin is first-line treatment in the UK for B12 deficiency with neurological symptoms
10.1002/dta.3225 41 PiatkowskiT.PuljevicC.FrancisC.FerrisJ.DunnM
SECTION 9 Physical and Chemical Properties Appearance: White to off-white lyophilized powder Odor: None Solubility: Soluble in sterile water, dilute acids, or aqueous buffers Stability: Stable when stored at 20 C SECTION 10 Stability and Reactivity Stable under recommended conditions
Once you know the concentration in mg/mL, a dose in mg becomes a volume in mL by simple division, and that volume becomes insulin-syringe units by multiplying by 100 (because a U-100 syringe is marked so that 1 mL = 100 units)
Focus on week-over-week trends rather than day-to-day changes
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