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The injectable form was placed on the FDA's Category 2 bulk drug substances list in 2023, restricting compounding pharmacies from preparing it under Section 503A

After fully depressing the plunger, count to 10 slowly while keeping the needle in place

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The outer skin may be pulled away from the muscle tissue to ensure the needle doesn't pierce the muscle

Methylmalonic acid in serum from patients with neurological symptoms consistent with cobalamin deficiency