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We often recommend a series of 3 treatments to begin your microneedling journey

Popular Brands Hospira (Pfizer) Cyanocobalamin Injection American Regent Cyanocobalamin Fresenius Kabi Cyanocobalamin Sandoz Cyanocobalamin Teva Cyanocobalamin Strengths 1000 mcg/mL (standard adult & clinical dose) 500 mcg/mL (pediatric or dose-adjusted therapy) 2000 mcg/mL (high-strength for severe deficiency) Typical regimen: 1000 mcg IM weekly, then monthly maintenance (per healthcare providers direction)

Some formulations may be stable at room temperature for short periods during use

Slow titration lowers the acute burden

Levocarnitine-Pregnancy and breastfeeding warnings