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A further small study done recently on 10 paediatric patients similarly found that intranasal OH-Cbl normalised serum B12 levels in deficient patients ( Subcutaneous B12 Subcutaneous B12 is occasionally used, especially in patients with inborn errors of cobalamin metabolism, who need high pharmacological doses of B12 to maintain their B12-dependent metabolic pathways and related biochemistry within normal range

Standard insulin syringes have approximately 0.01 to 0.05ml of dead space

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We offer injections in multiple forms because not everyone metabolizes B12 the same way, and the form actually matters more than most patients realize

The research pipeline continues to expand