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Vegans require the same 1.5 mcg daily but must obtain it through fortified foods or supplements

This is a key reason why pursuing advanced therapies like this requires professional guidance

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Exercise/resistance training: Resistance exercise preserves lean mass in cachexia

You should expect some initial, short lived, discomfort from the injection

For individuals requiring supplementation due to confirmed deficiency or malabsorption, therapeutic doses vary considerably depending on the underlying cause: Dietary deficiency : 50150 micrograms daily orally, or cyanocobalamin tablets as prescribed Pernicious anaemia : Initially hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks, then maintenance injections every two to three months [3] Neurological involvement : More intensive regimens may be required, with hydroxocobalamin injections on alternate days until symptom improvement [3] NICE guidance emphasises that supplementation should be evidence-based rather than speculative