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Prolonged use of Vitamin B6 (over 2 months) at high doses exceeding 1g/day can lead to severe peripheral neuropathy, with symptoms including unsteady gait and numbness in the hands and feet

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12 weeks (2 4 8 mg titration): ~3 vials 24 weeks (up to 12 mg weekly): ~9 vials 48 weeks (maintenance at 12 mg): ~21 vials Insulin Syringes (U-100, 1 mL) Per week: 1 syringe (once-weekly dosing) 12 weeks: 12 syringes 24 weeks: 24 syringes 48 weeks: 48 syringes Bacteriostatic Water (10 mL bottles) Use 2.4 mL per vial for reconstitution