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In most cases, sequencing the interventions improves outcomes

Manufactured for: Revised: November 2025 Vial Label - 1 mL: NDC 87188-111-01 Rx Only Cyanocobalamin Injection, USP 1,000 mcg/mL For Intramuscular or Subcutaneous Use Only 1 mL Multiple-Dose Vial Carton Label - 1 mL: NDC 87188-111-90 Rx Only Cyanocobalamin Injection, USP 1,000 mcg/mL For Intramuscular or Subcutaneous Use Only 25 X 1 mL Multiple-Dose Vials Vial Label - 10 mL: NDC 87188-112-01 Rx Only Cyanocobalamin Injection, USP 10,000 mcg/10 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 10 mL Multiple-Dose Vial Carton Label - 10 mL: NDC 87188-112-01 Rx Only Cyanocobalamin Injection, USP 10,000 mcg/10 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 1 x 10 mL Multiple-Dose Vial Vial Label - 30 mL: NDC 87188-113-01 Rx Only Cyanocobalamin Injection, USP 30,000 mcg/30 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 30 mL Multiple-Dose Vial Carton Label - 30 mL: NDC 87188-113-01 Rx Only Cyanocobalamin Injection, USP 30,000 mcg/30 mL (1,000 mcg/mL) For Intramuscular or Subcutaneous Use Only 1 x 30 mL Multiple-Dose Vial

Understanding these two stagesthe loading phase and the maintenance phase is the key to seeing real, lasting results from your therapy

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