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Here are some additional guidelines to consider: Evaluate any side effects and make necessary adjustments to the dosage or administration schedule

NICE and British Society for Haematology guidelines recommend: Initial treatment with hydroxocobalamin (the preferred form in the UK) via intramuscular injection For patients without neurological involvement: 1 mg IM three times a week for 2 weeks For patients with neurological involvement: 1 mg IM on alternate days until no further improvement Maintenance: 1 mg every 3 months for patients without neurological involvement

PMID: 28617838

Cell Signaling Technology) for 50 min at room temperature in the dark

Bull Exp Biol Med 135(6):590592