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Patients with neurological involvement require more intensive initial treatment with injections on alternate days until no further improvement occurs

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Regular follow-up should include assessment of weight loss trajectory, tolerability, medication adherence, and renal function if significant GI symptoms occur

Convenient Multiple-Dose Vial 30 mL vial allows flexible, cost-effective dosing for patients and clinics, with each mL delivering 1,000 mcg of high-potency hydroxocobalamin