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The blood levels are reasonably steady as with pellets, but do oscillate up and down with each injection

A further small study done recently on 10 paediatric patients similarly found that intranasal OH-Cbl normalised serum B12 levels in deficient patients ( Subcutaneous B12 Subcutaneous B12 is occasionally used, especially in patients with inborn errors of cobalamin metabolism, who need high pharmacological doses of B12 to maintain their B12-dependent metabolic pathways and related biochemistry within normal range

Microwave-assisted drying for the conservation of honeybee pollen

Proc Natl Acad Sci (1988) 85(24):95337