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Based on how the products were promoted, the FDA regards the products as unapproved new drugs and misbranded, with labels that provided inadequate directions for use

Hydroxocobalamin 1mg is the standard UK formulation, typically administered every two to three months for maintenance therapy Self-administration requires GP prescription, competency training from practice nurses, and demonstration of proper injection technique Common injection sites include the thigh (vastus lateralis) for both intramuscular and subcutaneous administration with site rotation essential Serious side effects are rare but anaphylaxis requires immediate 999 call

Analytical information only

But human research is needed before well know for sure