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Intramuscular administration bypasses oral absorption, which is limited to approximately 12% of dose above 1,000 mcg due to intrinsic factor saturation in the ileum

07 Label and refrigerate Write the reconstitution date on the vial

Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity

Dosing Calculation Examples If you reconstituted a 5 mg vial with 2 mL bacteriostatic water , your concentration is 2,500 mcg/mL: For 250 mcg dose: Draw 0.10 mL (10 units on insulin syringe) For 300 mcg dose: Draw 0.12 mL (12 units on insulin syringe) For 500 mcg dose: Draw 0.20 mL (20 units on insulin syringe) AOD-9604 Administration Guide Proper subcutaneous injection technique ensures optimal absorption, minimizes discomfort, and reduces risk of injection site reactions