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Conventional medical work up is ordered, but the test results are inevitably within range and patients are sent home with no concrete program for recovery
This timeline matches B12 pharmacokinetics: intramuscular methylcobalamin reaches peak serum concentration at 8-12 hours, but tissue saturation (particularly in the liver and nervous system) occurs over 48-72 hours as the vitamin is transported into cells and converted to active coenzyme forms (Andrs et al., 2018)
Inject into the middle part of the V
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