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New cells emerge more rapidly
The disease process is chronic and currently irreversible
never skip escalation steps [6]
A single viral podcast, YouTube interview or influencer testimonial can introduce millions of people to an emerging therapy overnight
Treatment for B12 deficiency without neurological involvement: For patients with haematological manifestations only (macrocytic anaemia) or asymptomatic deficiency, the regimen is hydroxocobalamin 1mg intramuscularly three times weekly for two weeks (total of six injections), followed by maintenance of 1mg every three months for life
It contains a small amount of cyanide which the body must detoxify, is shorter-acting and is not recommended by NICE for clinical use
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