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The specific reasons identified include intensive insulin therapy, decreased renal function, severe liver disease, alcohol ingestion, defective counter regulatory hormone release, missing meals/fasting, and gastroparesis
However, intramuscular shots release B12 gradually from muscle tissue, while IV infusions deliver the full dose into the bloodstream immediately
While most men tolerate B12 well, those with Lebers disease (a rare genetic eye disorder) should avoid injections, as high doses of B12 may worsen symptoms
1 week (1 vial): 4 mL 1 10 mL bottle 2 weeks (1 vial): 4 mL 1 10 mL bottle 4 weeks (2 vials): 8 mL 1 10 mL bottle Alcohol Swabs: One for the vial stopper + one for the injection site each administration
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