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Several liver diseases like acute hepatitis, cirrhosis, hepatocellular carcinoma and metastatic liver disease can also be accompanied by an increase in circulating cobalamin

In many cases, individuals may transition to a maintenance phase where injections are administered less frequently, such as once every two weeks or once a month

Its sometimes used alongside treatment for depression and anxiety

This is the practical reason a reader who is nervous about small-volume accuracy might prefer the 50 mg protocol the trade-off being that each vial carries fewer total doses, as the supply math shows next

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Seek emergency help for trouble breathing, facial or throat swelling, severe rash, chest tightness, or fainting after an injection