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Levels decline with age and drop further in chronic disease, including Parkinson's disease, liver disease, heart disease, and alcohol use disorder

De Lima, L

The right choice depends on individual goals, medical history, and tolerance for injection therapy

TAKE TIME OBSERVE LABEL DIRECTIONS Composition Each mL of sterile aqueous solution contains: Cyanocobalamin (B 12 )..........1000 mcg With sodium chloride 0.22% w/v, ammonium sulfate 0.1% w/v, citric acid 0.01% w/v, sodium citrate 0.008% w/v, and benzyl alcohol 1.0% v/v (preservative)

However, its synthetic derivative has been shown in clinical studies to be of benefit to other organ systems in small doses