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At that concentration, 250 mcg equals 0.05 mL, or 5 units on a U-100 insulin syringe
Reported effects are generally mild and may include injection-site reactions (redness, soreness, swelling), nausea, stomach upset, headache, or fatigue
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The FDA has not evaluated its safety, quality, or effectiveness for any health-related use
Treatment should not be delayed if neurological symptoms occur, as nerve damage may become irreversible without prompt B12 replacement
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