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Other uses of cyanocobalamin include treating memory loss, fatigue, neurological disorders, depression, and fatigue associated with certain chronic conditions such as HIV and diabetes

The primary difference is that the vials are only available in 2.5 mg and 5 mg doses, while the pens include those doses as well as 7.5 mg, 10 mg, 12.5 mg, and 15 mg. In clinical trials, patients on the 5 mg dose (maximum dose in single-dose vials) lost an average of 15% of their body weight in a year, while those on the 15 mg dose (maximum dose in single-dose pens) lost an average of 20% in a year

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