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verify clarity before use Dosage Guidelines Typical adult regimen (per package insert): 100 mcg IM/SC daily for 67 days Then 100 mcg every other day for 23 weeks Maintenance with 100 mcg IM/SC monthly for life Adjust based on patient response and serum vitamin B levels Clinical Applications Used to correct symptomatic or laboratory-confirmed B deficiency, where rapid repletion is needed or oral supplementation is unreliable

Common side effects may include: Nausea Mild digestive upset Temporary fatigue These symptoms typically subside as your body adjusts

M.de la ChapelleA.et al (2004)