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Hydroxocobalamin is one of the most common sources of B12 that medical professionals give through an injection

2Carefully inject the water down the inner wall of the peptide vial to avoid foaming

For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment

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In practical terms, the difference is small enough that standard dosing protocols do not adjust for it