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10.1002/btm2.10325 29 AslE

The medication must never be administered intravenously or intramuscularly, as these routes have not been studied and may alter the drug's pharmacokinetic profile, efficacy, and safety

(See also point 3 and 4, note 2) Supplementation (1000 mcg hydro(xo)cobalamine B12 injections, 2 times a week intramuscularly or deep subcutaneously for five weeks, or once a week for ten weeks) is primarily done when deficiency has been diagnosed

Echocardiography showed moderate to severe LV dysfunction, without significant valvular abnormalities