After your levels are restored, well work with you to develop a personalized maintenance schedule, which generally means an injection every one to three months
On a standard 1 mL insulin syringe, each small tick mark equals 1 unit (0.01 mL)
Many pharmacies accept sharps containers for disposal
[15] [16] Standard NHS treatment protocols: Without neurological involvement: Hydroxocobalamin 1mg intramuscularly three times weekly for two weeks, then maintenance injections every 2-3 months (lifelong if pernicious anaemia)
Avoid refrigerating unless the product label specifies otherwise, as temperature cycling can stress the vial seal
But it comes with important caveats: lack of FDA approval, variability risks, and transitional regulatory changes