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The standard NHS protocol for B12 deficiency typically involves hydroxocobalamin 1mg intramuscularly three times a week for two weeks (if there's no neurological involvement) or on alternate days until no further improvement (if neurological symptoms are present)

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This pH-adaptive stability spans both physiological skin acidity (pH 46) and the alkaline extremes (pH 79) typical for chronic wounds, confirming the ability of D-CuP to maintain structural integrity under pathological conditions