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verify clarity before use Dosage Guidelines Typical adult regimen (per package insert): 100 mcg IM/SC daily for 67 days Then 100 mcg every other day for 23 weeks Maintenance with 100 mcg IM/SC monthly for life Adjust based on patient response and serum vitamin B levels Clinical Applications Used to correct symptomatic or laboratory-confirmed B deficiency, where rapid repletion is needed or oral supplementation is unreliable

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doi: 10.1089/jmf.2019.4580

Role of oxidative stress in sensorineural hearing loss

The complex interaction between hyperhomocysteinemia and PD induces different pathological changes, including DNA hypomethylation, neuroinflammation, oxidative stress, and neuronal cell deaths (Doherty 2013)