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Why this matters for dosage: the same mcg number means something different depending on purity

Intramuscular injection bypasses this entirely, delivering hydroxocobalamin directly into the muscle where it is absorbed immediately and completely

We advise physicians to examine every patient carefully to exclude every cause that may lead to malabsorption and then choose the most appropriate route

2022;14:eabm2311

Patients who do not tolerate GLP-1 medications: those who had gastrointestinal side effects from semaglutide or tirzepatide and want to understand other options to discuss with a provider

Since youre absorbing smaller amounts over time, it may take longer to notice improvements