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Strategies include eating bland foods (rice, crackers, bananas, toast) on the day after injection, sipping ginger tea or ginger ale, avoiding spicy and high-fat foods for 48 hours post-injection, and staying well-hydrated with small sips throughout the day rather than large gulps

Popular Brands Hospira (Pfizer) Cyanocobalamin Injection American Regent Cyanocobalamin Fresenius Kabi Cyanocobalamin Sandoz Cyanocobalamin Teva Cyanocobalamin Strengths 1000 mcg/mL (standard adult & clinical dose) 500 mcg/mL (pediatric or dose-adjusted therapy) 2000 mcg/mL (high-strength for severe deficiency) Typical regimen: 1000 mcg IM weekly, then monthly maintenance (per healthcare providers direction)

Drug Des Devel Ther (2009) 2:20314

Upregulation of growth hormone receptor expression and VEGF signalling