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These patients are often recommended to receive 1 mg of oral vitamin B12 daily indefinitely, but intramuscular injections may be necessary if oral supplementation is insufficient Mahawar2018Langan2017

Note that the documented GLOW protocol holds the per-dose size constant

Although B complex vitamins are water-soluble and excess amounts are typically excreted in urine, large doses can lead to adverse effects

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Bacteriostatic water for injection allows the administration of medications through different parenteral (outside the gut) routes , such as intravenous (into the veins), intramuscular (into the muscles), and subcutaneous (under the skin) routes