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Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed

Crohns disease, celiac disease, bacterial overgrowth, parasites, and certain medications can also impact the absorption of Vitamin B12

Do not inject into areas that are bruised, red, irritated, scarred, or have hard lumps beneath them

Obesity pharmacotherapy: Current perspectives and future directions