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There is no good evidence for a B12 'detox' or 'toxin release', so treat that framing with caution

This algorithm hasnt been prospectively validated, so consider discussing the case with poison control or a local toxicologist

We scheduled IVs to be provided at our Airbnb and it was the best decision ever

Use a higher concentration or split into two injections.* At concentrations of 10 mg/mL and above, even the maximum 15 mg dose fits within a 1 mL syringe (75 units at 20 mg/mL)

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Break capsule open and empty content into container or nebulizer cup