It includes 1-5 intramuscular or subcutaneous injections of 1000 mcg crystalline cyanocobalamin daily, followed by oral doses of 1000-2000 mcg/day Parenteral administration should be reserved for those with significant neurological symptoms NICE guideline: Vitamin B 12 deficiency in over 16s: diagnosis and management: Malabsorption as the confirmed or suspected cause of vitamin B 12 deficiency: Offer replacement to people if: lifelong intramuscular vitamin B12 Autoimmune gastritis is the cause They have had a total gastrectomy They have had a complete terminal ileal resection If the person has a vitamin B 12 deficiency because of malabsorption that is not caused by autoimmune gastritis, or a total gastrectomy or complete terminal ileal resection (for example, malabsorption caused by coeliac disease, partial gastrectomy or some forms of bariatric surgery): Offer vitamin B 12 replacement and Consider intramuscular instead of

B12 injections vs oral supplements, which one actually works better
Since a 10mg vial provides multiple doses over several weeks, you need bacteriostatic water with its benzyl alcohol preservative to prevent bacterial contamination between draws
The label says the vial should be inspected for particulate matter and discoloration before use if the container allows
GHK-Cu has the larger published research base over 100 published studies spanning five decades
It is, in fact, essential for optimal health, performance, and well-being