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They do make a difference in my energy level and they make a difference in my losses

The label says the vial should be inspected for particulate matter and discoloration before use if the container allows

Intake The medicine is usually administered intramuscularly (injected into a muscle).It can also be given slowly intravenously or subcutaneously (injected into a vein or under the skin)

pmid:21593496Abstract/FREE Full TextGoogle Scholar Solomon LR

If you have had neurological symptoms that affect your nervous system, such as numbness or tingling in your hands and feet, caused by a vitamin B12 deficiency, you'll be referred to a haematologist and may need to have injections every 2 months