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[13] [16] For confirmed deficiency, particularly with neurological symptoms or pernicious anaemia, intramuscular B12 injections (hydroxocobalamin) are the standard NHS treatment
These symptoms go off in a few weeks and wont disrupt long-term treatment
Fatigue or sleep changes: Some report increased sleepiness while others insomnia
Compliance Monitoring Implement strategies to monitor and ensure the subject's compliance with the prescribed dosage regimen, such as participant diaries, regular follow-up visits, and periodic assessments of the remaining spray volume
Frequency: Once per day
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