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The intranasal formulations are not approved to treat acute B12 deficiency

We ourselves were selling such kits, which were lifesavers for many patients

Documentation : The provider must document the drug name, dose, site of administration, route, reason for use, and patient response

In people without pernicious anemia, about 0.5 g/day of B12 is reabsorbed by enterohepatic circulation in which B12-containing bile is secreted by the liver into the digestive tract where the B12 is then reabsorbed via intrinsic factor

Our clinic offers two strengths of Methylcobalamin B12, 1mg & 5mg to be injected via the intramuscular (IM) route into the thigh