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This occurs because the solution injected into the muscle stretches the fibers and triggers an immune response, leading to temporary inflammation

Titration: Month 1 (3 mL 1 vial is $120): Inject 4 units (0.04 mL) SUBQ one time daily for 7 days, then 8 units (0.08 mL) one time daily for 7 days, then 12 units (0.12 mL) one time daily for 7 days, then 16 units (0.16 mL) one time daily Ships to every state EXCEPT: AL, AK, AR, IN, MI, MN, SC

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Use and dosage information for thiamin, niacin, vitamin B-6, B-12, biotin, folate (folic acid), and pantothenic acid