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In certain circumstancessuch as pregnancy, concurrent illness, or rapid metabolic turnoverB12 requirements may increase, and dosing adjustments may be necessary under medical supervision

15 October 2019

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For a 5mg target dose, the calculated volume is 5 26.5 = 0.189mL (18.9 units), slightly less than the 20 units you'd draw assuming exactly 50mg

The consistency of this equipment matters more than its sophistication using the same sterile, single-use components each time reduces the risk of introducing contaminants into a vial that may be accessed repeatedly over its working life