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There are biochemical reasons that suggest an intramuscular (IM) injection delivers hydroxocobalamin to the bloodstream more rapidly and potentially more effectively than the subcutaneous (SC) route

This high-dose protocol is specifically designed for individuals facing severe tissue damage, complex injuries, or conditions requiring maximum regenerative support

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The arguments include the same dose range and same equipotent routes of application, regardless of the injury tested (Sikiric et al., 1993