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An intramuscular (IM) injection delivers vitamin B12 directly into a muscle, usually in the upper arm, thigh, or upper buttocks
A distinction is made between early neurosyphilis, which develops months to a few years after the primary infection, and late neurosyphilis, which can occur many years or even decades later [1]
When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects
Ke, W., Tso, L
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