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The standard NHS protocol for B12 deficiency typically involves hydroxocobalamin 1mg intramuscularly three times a week for two weeks (if there's no neurological involvement) or on alternate days until no further improvement (if neurological symptoms are present)

Standard 1000 mcg Monthly Maintenance Protocol For adults, the usual maintenance dose is 1000 mcg monthly

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Unscrew the drawing needle, drop it straight into your sharps container, and twist on a fresh injection needle

But before we get into the vitamin B12 deficiency signs and symptoms, lets define those two terms [3]: - A symptom is a subjective marker that you (the patient) observe and report to a healthcare provider

For severe deficiencies, daily or weekly infusions might be needed at first