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The British National Formulary (BNF), for example, differentiates the prescription of hydroxocobalamin according to presenting symptoms, eg, For neurological involvement, it is advised to administer hydroxocobalamin by intramuscular injection, initially 1 mg once daily on alternate days until no further improvement, then 1 mg every 2 months. In the Netherlands, pharmacotherapeutic guidelines 51 recommend (for the same neurological symptoms or abnormalities) administration of 1000 mcg once or twice weekly for up to two years

In adults, Ii is also needed for maintenance of normal brain function

What are the factors which affect absorption

This article provides comprehensive guidance on safely administering B12 injections at home, obtaining prescriptions and supplies, recognising potential side effects, and following NHS guidelines for self-administration

We focus on combining safe, effective medication with a realistic lifestyle plan

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