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Salinas et al 27 The traditional treatment of vitamin B 12 deficiency is the intramuscular injection of cyanocobalamin, generally, 1 mg/d for 1 week, followed by 1 mg/wk for 1 month, and then 1 mg every 1 or2 months ad perpetuum

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once reconstituted with bacteriostatic water, it requires refrigeration at 28C and should be used within 28 days

Then it must travel all the way through the small intestine to the far end, the terminal ileum, where it can pass into the blood stream