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Use Vitamin B12 Injection exactly as your doctor prescribes, following the instructions in the product monograph in Canada

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Monitoring-guided supplementation is the usual approach, typically beginning with oral supplementation if blood tests indicate suboptimal levels, and escalating to IM injection if oral treatment is insufficient or poorly tolerated

The peptide contains an internal disulfide bond between the two cysteine residues, which is critical for its three-dimensional conformation

however, in patients with non-pulsatile bilateral tinnitus, with or without symmetric hearing loss, and an otherwise normal history and physical exam, imaging is not necessary