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According to NICE Clinical Knowledge Summaries and the British National Formulary , the standard treatment is intramuscular injections of 1,000 mcg (1 mg) hydroxocobalamin
Under ideal conditionsrefrigerated at 2-8C and reconstituted with bacteriostatic waterRetatrutide can remain stable for up to 8 weeks
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Before prescribing, providers need to consider the whole patient, including the childs physical and emotional health and the environment they live in, says Sarah Hampl, MD, a coauthor of the AAP guidelines, pediatrician at Childrens Mercy Kansas City, and professor of pediatrics at University of Missouri-Kansas City School of Medicine
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