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At this concentration, a 500 mcg dose equals 0.2 mL (20 units on an insulin syringe)

Therefore, it is crucial to inform your healthcare provider of all medications, supplements, and vitamins that you are taking before starting this medication

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As it does not contain any preservatives or additives, it is considered safer than bacteriostatic water, which can cause some adverse reactions in some patients due to the presence of benzyl alcohol, its antimicrobial preservative

In contrast, an intramuscular B12 injection delivers this crucial nutrient directly into your bloodstream, guaranteeing full absorption

Sources We encourage researchers to review the primary literature