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Once dissolved in 10 mL of saline, each 0.3 mL dose delivers 1.2 mg of B12, about 400500 times the recommended daily allowance
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Oral B12 (50150 g daily) may be appropriate for dietary deficiency without neurological involvement, but intramuscular hydroxocobalamin injections remain first-line treatment in the UK for patients with nerve symptoms or malabsorption conditions
Some patients view these shots as a short-term boost, others as a maintenance therapy
Earlier intervention produces better outcomes
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