Localized injections may still have a role in some situations, but healing is usually influenced by much more than simply placing a needle into the exact area of pain
Fasting glucose may start trending downward
Labeling prevents accidental use beyond safe time limits
1 mg cyanocobalamin, water for injections, sodium hydroxide for pH adjustment, sodium chloride, sodium dihydrogen phosphate 2 water At the beginning of the treatment, 1 ampoule of 1 ml vitamin B 12 Lichtenstein (corresponding to 1000 micrograms of cyanocobalamin) is administered twice a week in the first weeks after diagnosis
For patients without absorption disorders, high-dose oral B12 supplements (1,000-2,000 mcg daily) have been shown to be comparably effective to injections in correcting mild to moderate deficiency