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Most B12 is Cyanocobalamin, a synthetic form your body has to convert

Each mL contains: Hydroxocobalamin Acetate equivalent to 1000 mcg Hydroxocobalamin, Sodium Acetate Anhydrous 0.2 mg, Glacial Acetic Acid 0.442 mg, Sodium Chloride 8.2 mg, with Methylparaben 1.5 mg and Propylparaben 0.2 mg as preservatives, in Water for Injection q.s

These risks are exactly why an intramuscular injection is safer given by a trained clinician than self-administered at home

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When Compounded Dermatology Formulations Are Clinically Indicated FDA-approved dermatology products cover a wide therapeutic range, and they should be the starting point when they meet the patients needs

The vast majority of patients feel fine and benefit from the injection without any problems