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The company states it is compounded at certified 503A pharmacies

The Route of Administration The most significant barrier is that hydroxocobalamin is licensed for parenteral administrationmeaning it must be given by injection (Intramuscular, IM)

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doi: 10.1093/jac/dku460 460 XiongJ.WangL.FengY.ZhenC.HangS.YuJ.et al

At five times the dose of standard B12 chewables, this is a high-potency, convenient format designed for people who want meaningful B12 support in a form the body can use immediately.*