According to the NICE Clinical Knowledge Summary (CKS) and the British National Formulary (BNF) , the standard treatment for B12 deficiency without neurological symptoms involves: Hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks Followed by maintenance doses of 1 mg every three months For patients with neurological symptoms (such as paraesthesia, numbness, cognitive changes, or gait disturbances), more intensive treatment is required: Hydroxocobalamin 1 mg intramuscularly on alternate days until no further improvement occurs Followed by 1 mg every two months for maintenance Pernicious anaemia , an autoimmune condition where the body cannot produce intrinsic factor, requires lifelong treatment
Additionally, it's important to drink plenty of water before and after your injection in order to flush out any toxins that may have built up in your system as a result of the shot
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Vitamin B15 presence is a coadjuvant in order to retard tiredness and muscular fatigue due to the fact that it fights muscular toxic hypoxemia by producing more oxygenation
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