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1 Mecobalamin 50 mg or placebo was administered intramuscularly twice weekly for 16 weeks to 130 ALS patients who had suffered from ALS for less than one year, were classified as definite, probable, or probable-laboratory supported according to the Updated Awaji Criteria, had an ALS severity rating of grade 1 or 2, had a decrease of 1 or 2 points in the total score on the Revised ALS Functional Rating Scale-Revised (ALSFRS-R) 12 weeks prior to administration, and had a forced vital capacity (%FVC) of more than 60%

Benefits of subcutaneous administration include: Easier for patients to give themselves injections Less risk of muscle irritation Potential for slower absorption, depending on the injection site Intravenous (IV) Usage in Clinical Settings Intravenous Vitamin B12 is usually used for severe deficiency cases or when quick correction is needed

Research in animal models shows activity at approximately 0.5mcg/kg, though human protocols typically use standardized doses in the 1-3mg range regardless of body weight

It's pharmaceutical grade, meeting strict purity standards