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
Antioxidant and antimicrobial activity of the essential oil and methanol extracts of Achillea millefolium subsp
This improved tolerance makes it suitable for longer-term use
Some experts suggest that regular injections should only be used as a last resort if supplements do not work or if deficiency symptoms are severe.
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Keep away from produce drawers where humidity tends to be higher
