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But prolonged vitamin B12 deficiency can also cause it

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For a lab test, you request a sterile sample bottle, collect the water exactly as instructed, and return it within about 24 hours so the sample stays valid

Storage: Refrigerate lyophilized and reconstituted vials

Patients typically receive injections once or twice weekly for the first two weeks, followed by monthly maintenance doses, making the treatment cost-effective for those requiring consistent B12 supplementation

Units on a U-100 syringe: 0.045 mL 100 = 4.5 units (round to the ~45 unit mark on the barrel)