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But Kristin Zimmerman, associate professor in the department of pharmacotherapy and outcomes science at Virginia Commonwealth Universitys School of Pharmacy in Richmond, grew suspicious several years ago when her mom, who was in her late 60s and living on Floridas Gold Coast, quietly signed up for vitamin B12 injections from a new wellness clinic that had opened at the local mall

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Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed