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With a 10mg/mL concentration (1mL of water added), that 4mg dose requires drawing 0.4mL, which equals 40 units on a standard U-100 insulin syringe

Each mL of sterile aqueous solution contains: Cyanocobalamin (B12)..........1000 mcg With sodium chloride 0.22% w/v, ammonium sulfate 0.1% w/v, citric acid 0.01% w/v, sodium citrate 0.008% w/v, and benzyl alcohol 1.0% v/v (preservative)

Trouble walking: Brain stroke can cause an individual to lose balance or coordination of their arms and legs