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They require clinic visits, they cost more, and they don't offer a meaningful advantage over high-dose oral supplementation when absorption isn't the problem

I think I read in another comment that your are in the medical field

Impaired thymidylate synthesis, which leads to faulty DNA synthesis, is responsible for megaloblastic and macrocytic anemias

Repeat in 2 to 4 days if required or as recommended by a veterinarian

Eventually, the scar tissue may become permanent (called cirrhosis) and liver failure

It is not intended for human consumption or veterinary use and is not marketed for the diagnosis, treatment, cure, mitigation, or prevention of any disease or medical condition