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The first is 503A compounding pharmacies, licensed healthcare facilities that produce medications to individual prescriptions under pharmaceutical-grade standards, with purity testing, sterility protocols, and regulatory oversight

Intramuscular (IM) injections are common for routine repletion of B levels, whereas intravenous (IV) administration might be used in emergency situations or when large doses are required quickly

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10.1021/jasms.4c00465 719 YilmazB.AagndzD

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Hydroxocobalamin is classified as Pregnancy Category C in the United States, indicating that risk to the fetus cannot be ruled out in the absence of definitive human data