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The FDA-designated label for cyanocobalamin states that it can be given either intramuscularly or subcutaneously

doi: 10.1021/acsbiomaterials.0c00743 30 CaiL.YangC.JiaW.LiuY.XieR.LeiT.et al
No, Acamprosate is not available over the counter in Pennsylvania because it is a prescription medication that requires a healthcare providers evaluation and supervision

doi: 10.1111/j.1365-4632.2004.01993.x

Alternative delivery methods Oral formulations, extended-release versions, combination injections

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