According to the NICE Clinical Knowledge Summary (CKS) and the British National Formulary (BNF) , the standard treatment for B12 deficiency without neurological symptoms involves: Hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks Followed by maintenance doses of 1 mg every three months For patients with neurological symptoms (such as paraesthesia, numbness, cognitive changes, or gait disturbances), more intensive treatment is required: Hydroxocobalamin 1 mg intramuscularly on alternate days until no further improvement occurs Followed by 1 mg every two months for maintenance Pernicious anaemia , an autoimmune condition where the body cannot produce intrinsic factor, requires lifelong treatment

Vitamin Deficiency (B12, Pernicious Anaemia & others) Without Needles Subcutaneously or Intramuscular Needleless injecting of Vitamin B12 coenzyme (methylcobalamin) or methyl-B12, is a very popular use for the Comfort-in jet injector system, particularly because they reduce pain and anxiety
Available from: Research C, for DE
B12 appears in animal foods and fortified products
What your body needs will be determined by our medical staff looking at your medical charts
Use the CMS Physician Fee Schedule lookup or the quarterly ASP drug pricing file to verify the current payment amount before financial planning