Treatment is typically lifelong for patients with pernicious anaemia or irreversible malabsorption conditions
If the effectiveness isn't enough, some people simply hate needles

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Solution: Use at least 250mcg per injection
The peptide arrives as lyophilised powder and must be reconstituted with bacteriostatic watertypically 2mL of bacteriostatic water added to a 5mg vial yields a concentration of 2.5mg/mL, allowing precise measurement with insulin syringes
This is the more commonly recommended option, and for good reason