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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

10.1016/j.bbi.2020.10.010 Brain Behav

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For example, in Oklahoma, which was the first state in the country to attain the statutory authority for chiropractic injectable nutrients, it is estimated that well in excess of two million intramuscular, intra-articular and trigger-point injections have been administered with natural medicine agents that far outperform allopathic steroids, and without risk of side effects