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Intramuscular injections go directly into your muscles using a 1-1 needle into muscles located at your shoulder, thighs, hips and buttocks
For patients with neurological involvement, 1 mg is given on alternate days until no further improvement, then maintenance doses of 1 mg every two months
The mechanism also appears to preserve lean muscle mass, as the peptide does not promote protein catabolism or interfere with muscle protein synthesis pathways
Active-form methylcobalamin circumvents that bottleneck and supports more predictable cellular uptake
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