Its primary advantage over sterile water for injection is its multi-use capability the benzyl alcohol preservative allows the same vial to be accessed multiple times with a sterile needle without compromising the sterility of the remaining solution, which is essential in research settings where a single stock solution vial may be used across multiple experiments or time points
Most protocols cycle on and off rather than using continuously
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[1] A common starting regimen in adults with normal renal and hepatic function is 1 mL intramuscularly once or twice weekly, titrated every four weeks according to biochemical markers such as fasting lipid panel, liver transaminases, and serum carnitine
Dr Chandys belief was that vitamin B12 deficiency could be the cause of many illnesses, including neurological ones