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Over an entire vial, the cumulative dead space can mean your last dose comes up slightly short

Low energy availability: history, definition and evidence of its endocrine, metabolic and physiological effects in prospective studies in females and males

The dosing regimen varies depending on whether neurological symptoms are present: With neurological involvement: 1 mg intramuscularly on alternate days until no further improvement, then 1 mg every 2 months [3] [4] Without neurological involvement: 1 mg intramuscularly three times a week for 2 weeks, then 1 mg every 2-3 months for maintenance [3] [4] There is some evidence that high-dose oral B12 (1000-2000 micrograms daily) may be effective even in some malabsorption conditions, though UK practice still generally favours intramuscular treatment in these cases

What is the RVU value for CPT 90471

We still do not know the optimal dosage or the most effective route of administration for these peptides in humans