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Intramuscular hydroxocobalamin injections represent the standard first-line treatment in the NHS: For deficiency without neurological involvement : Initially 1 mg three times weekly for two weeks, followed by maintenance injections every two to three months lifelong (if the underlying cause cannot be corrected)
ClinicalTrials.gov, AOD-9604 Search
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Mild soreness or redness at the site is normal
Managing your weight and stress can also play a role
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