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It is currently available primarily through compounding pharmacies for research purposes or as prescribed by a licensed practitioner under specific state regulations governing compounded medications

My uncle (mothers brother) is currently on a three month B12 injection of Hydroxocobalamin B12 and is not doing well at all

[69] [70] Compliance with the updated labeling regulations was required by 1 January 2020 for manufacturers with US$10 million or more in annual food sales, and by 1 January 2021 for manufacturers with lower volume food sales

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[DOI] [PubMed] [Google Scholar] 43.Winterbourn C.C., Metodiewa D