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If neurological symptoms are present, treatment is more intensive: 1 mg on alternate days until no further improvement occurs, then maintenance doses of 1 mg every 2 months

Allergy risk to cobalt or preservatives (rare) Energy improvement: 24-72 hours Reticulocyte response: 3-5 days Neurological improvement: Weeks to months Hematological normalization: 4-8 weeks Maximum nerve repair: Up to 1 year Injection site reactions (15-20%) Mild diarrhea (initial doses) Itching/eczema (cobalt sensitivity) Transient anxiety (overstimulation) Headache (usually resolves quickly) Serious reactions are extremely rare

Peptides are short chains of amino acids that act as signaling molecules within the body

Cautions Federal law restricts this drugs to use by or on the order of a licensed veterinarian