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This compounded version offers an alternative to branded medications, allowing for customized dosing and potentially lower costs while maintaining effectiveness

[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections

They require finding a physician who knows the current regulatory picture, uses compliant sourcing, and can make an informed evaluation of whether a specific compound is appropriate for a specific patient