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Fine-gauge needles for puncturing vial stoppers

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After 1 month of treatment in pernicious anemia patients, the once weekly dosing of 500 mcg B12 intranasal gel resulted in a statistically significant increase in B12 levels when compared to a once monthly 100 mcg IM dose

treatment should take place every 7 days for 3 weeks, then a monthly follow up shot for at least 3 months, then a follow up shot in 3 months time, dependant on exact level of symptoms