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Intramuscular hydroxocobalamin is the preferred treatment for most patients with confirmed deficiency, particularly when malabsorption is present or neurological symptoms exist

This preparation contains 50 mg of high purity lyophilized compound supplied in a sealed research vial

+ The needle used is short and fine, and most patients describe the sensation as a quick pinch or a sharp pressure that lasts about a second

hCG is a standard stimulus for studying testosterone synthesis and the steroidogenic enzyme cascade in Leydig cell cultures

Give treats and other forms of positive reinforcement during these sessions, such as attention, praise, and play