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The doctor will decide on what care is appropriate for you

[19] [20] Medication adherence and injection technique also matter

According to NICE Clinical Knowledge Summaries and the British National Formulary (BNF), the recommended treatment regimens are: For patients without neurological involvement : Initial treatment: hydroxocobalamin 1 mg intramuscularly three times a week for 2 weeks Maintenance: hydroxocobalamin 1 mg intramuscularly every 3 months for life For patients with neurological involvement : Initial treatment: hydroxocobalamin 1 mg intramuscularly on alternate days until no further improvement Maintenance: hydroxocobalamin 1 mg intramuscularly every 2 months for life If neurological symptoms are present, treatment should be started urgently to prevent irreversible damage

Talk to your doctor about how smoking might affect your treatment goals

High-fat diet induced alteration of mice microbiota and the functional ability to utilize fructooligosaccharide for ethanol production