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Understanding what elevated levels may indicate is essential for appropriate investigation and management in UK clinical practice
The body converts hydroxocobalamin into the active coenzyme forms of B12 methylcobalamin and adenosylcobalamin that it uses for cellular energy production, DNA synthesis and neurological maintenance
Discard the used needle in a puncture-resistant sharps container
Children may be given a total of 1 to 5 mg over a period of 2 or more weeks in doses of 100 mcg, then 30 to 50 mcg every 4 weeks for maintenance
Clean the skin, use the correct needle length, insert at 90, and do not inject into subcutaneous fat by mistake
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