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The process of freezing and thawing can damage the molecular structure, similar to shaking

Once your provider determines how much B12 you need, then you may be able to decide whether you would like to receive lower dosages every five to ten days or a higher dose on a monthly basis

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## Dose Calculation Reference (10mg/ml) | Desired Dose | Volume to Draw | Insulin Syringe Units | |-------------|----------------|----------------------| | 1mg | 0.10ml | 10 units | | 2mg | 0.20ml | 20 units | | 4mg | 0.40ml | 40 units | | 8mg | 0.80ml | 80 units | | 12mg | 1.20ml | Split: 0.60ml x 2 | **Formula:** Dose (mg) / Concentration (mg/ml) = Volume (ml) For doses requiring more than 1ml, split into two injection sites administered the same day

Individual requirements should be guided by regular blood tests and your bariatric team