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In the case of the currently untreatable degenerative nerve disease ALS, a daily dose of 50 000 g of methylcobalamin via injection could significantly slow down the pace with which the disease proceeds (41)
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Many cyanocobalamin injection products are stored at room temperature and protected from light, but the label on your dispensed product should guide handling
Read our pernicious anemia diet page for more advice
Don't let the needle touch anything once the cap is off
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