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FDA fails to utilize a methodical, transparent, and defensible quantification of exposure for comparison to that reference exposure level

Likewise, this includes as well those seen in the long term (i.e., a counteracting of the ensuing systemic muscle disability [254] (i.e., paralysis) and consequent muscle damage (in the injected muscle and non-injected muscle, hyperkalemia [255] and arrhythmias [256]), with leg-contractures rapidly eliminated [81]

When injections are the right choice When blood tests or clinical context indicate deficiency or malabsorption, intramuscular B12 is an appropriate and often necessary treatment

Berg & Y