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Injection Procedure Clean the injection site with an alcohol swab and allow complete drying

Given as an injection or IV drip it reaches your bloodstream directly, so far more of it is usable than from a swallowed pill

It is produced by the liver and is also involved in various types of body processes

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

Yu H, Lee H, Herrmann A, Buettner R, Jove R