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Polycythemia vera has also been reported with parenteral methylcobalamin
For these dosages, a 1 ml syringe is often sufficient, providing the precision needed for proper administration
In contrast, injections avoid these barriers entirely
Each injection should contain at least 5,000 mcg of pharmaceutical-grade methylcobalamin to be effective, and most patients notice improvements in energy, sleep, and mood within weeks of starting proper B12 therapy
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