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Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

All handling, measuring, and experimental evaluation must be conducted exclusively by qualified scientific professionals within a certified and monitored research facility

It is available in certain clinics under compounding programs, but quality and consistency can vary widely depending on the source (FDA PCAC briefingcompounding context)

Those getting prescribed injections from their doctor are likely to only need them once every few months at a very high dosage which is not meant to be used weekly or daily