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There are biochemical reasons that suggest an intramuscular (IM) injection delivers hydroxocobalamin to the bloodstream more rapidly and potentially more effectively than the subcutaneous (SC) route

The lack of danger of an overdose is further underlined by the advice to treat patients with neurological involvement with two injections a week for up to two years, if necessary

Jamali SA, Mohammadi M, Saeed M, Haramshahi SMA, Shahmahmoudi Z, Pezeshki-Modaress M

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This hormone can help to speed up healing after an injury and repair muscle tissue after exercise