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Alternatively, 100mcg can be administered daily for 1 week, followed by every other day for 2 weeks
[13] Chloramphenicol has been shown to blunt reticulocyte response to cyanocobalamin, while ethanol, colchicine, and nitrous oxide interfere with cobalamin metabolism or utilization, each warranting clinician awareness when evaluating suboptimal treatment outcomes
Because of these challenges, many experts agree that the arm is a site best left to a trained provider who can administer the injection safely and correctly
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Pediatric Dosing Recommended dosage for children may vary based on different medical conditions: For the initial treatment of pernicious anemia, the usual dose is 30-50mcg SC/IM, given every day for 2 weeks, followed by maintenance treatment