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D is the 3.2 mg KLOW dose, M is the vials total 80 mg, and V_draw is the selected draw volume in mL: V water = V draw M D Worked example: 3.2 mg total KLOW in a 0.2 mL, or 20-unit, draw

Because this product contains benzyl alcohol, it should not be used in newborns or in people who are sensitive to benzyl alcohol

The resulting elevated concentrations of homocysteine and MMA are often found in patients with low serum vitamin B 12 and can usually be lowered with successful vitamin B 12 replacement therapy

for neutral grounding on indications and biology, see Vitamin B12 Health Professional Fact Sheet , which outlines deficiency care and dosing context for clinicians

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They are not a replacement for a healthy lifestyle, but they may be a helpful addition to a broader plan