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The exact treatment plan will be determined on an individual basis

It consists of sterile water for injection combined with 0.9% benzyl alcohol, which acts as a preservative to inhibit microbial growth after vial access

[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency

Rare hypersensitivity reactions to B12 preparations can occur, which might include systemic symptoms, though joint pain specifically is not typically reported

Typical daily range: 2.55 mg once or twice daily (subcutaneous)