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Intramuscular (IM) hydroxocobalamin is the recommended first-line treatment for pernicious anaemia in the UK, as advised by NICE and the British Society for Haematology
It contains no active pharmaceutical ingredient, and it is not classified as a prescription-only medicine when sold for non-medicinal reconstitution use
It could be a sensitivity or a paradoxical reaction if their detoxification pathways are congested (including the interstitium and liver)
Intramuscular (IM) Injection Techniques Intramuscular injections are a common way to give Vitamin B12
BPC was first reported by Sikiric et al in the early 1990s in Russian journals that are not readily available to this author
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