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The correct protocol involves separate injections at separate sites, typically the same day or as directed by the prescribing APRN

Concerns have been raised about an association with an increased risk of diagnosis of high grade prostate cancer over time in patients on five alpha reductase inhibitors but this is not widely agreed upon

Oral formulations may require longer durations given the bioavailability uncertainty

The natural form of folate, 5-methylTHF (methylfolate), offers several advantages compared to folic acid: it does not mask B12 deficiency, it is already a biologically active form, it does not cause unmetabolized folic acid in blood, and it is absorbed and utilized at least as well as folic acid

Every plan includes the vial, injection supplies, provider consultation, ongoing care, and shipping