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Doskey, C

At a 20mg/mL concentration, maintenance doses stay in the comfortable range: 8mg requires 0.4mL (40 units) and 12mg requires 0.6mL (60 units)
109 Additionally, unabsorbed glucose or glucose polymers that appear in the colon provide a substrate for lactate-producing bacteria 110 which contribute to further elevated levels of both d- and l-lactic acid that can be absorbed into the circulation

It is important for patients to attend follow-up appointments to monitor their vitamin B12 levels and adjust dosing as needed
