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The guidelines advise GPs that someone with B12 deficiency who has neurological symptoms should have every other day injections until no more improvements can be gained by this

Administer slowly and with caution in doses over 1/3 mL (50 mg Thiamine).

Physical Form: Lyophilized powder

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Response: We appreciate MedPAC's concerns, but as MedPAC acknowledges in its comment, the Congress would need to change current law to implement MedPAC's suggestions

Cyanocobalamin, or Cyano B12, is a synthetic form of B12 that is not found in nature and is used more frequently in lower-grade supplements as it is cheaper than Methyl B12