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The theoretical risks are minor metabolic shifts (free fatty acid mobilization) and injection-site effects

Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed

Apamin suppresses vascular smooth muscle cell migration and growth in the vascular wall by targeting the Akt and Erk signaling pathways

You're drawing multiple doses from one vial over weeks