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Oral B12 (50150 g daily) may be appropriate for dietary deficiency without neurological involvement, but intramuscular hydroxocobalamin injections remain first-line treatment in the UK for patients with nerve symptoms or malabsorption conditions
The reconstituted solution should be refrigerated at 28C and used within the recommended timeframe, with aliquoting advised to prevent peptide degradation from repeated freeze-thaw cycles.
This shift has paved the way for innovative strategies, including a small molecule peptide known as 5-amino-1mq
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