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It is an option when oral B12 is poorly absorbed or insufficient
These can range from mild to severe and may occur shortly after the injection
Vitamin B1 (thiamine) Vitamin B1 is found in many foods, including cereal grains, beans, nuts, yeast, and meat
In such cases, the NHS standard treatment is intramuscular hydroxocobalamin injections, typically given every 2-3 months for maintenance after an initial loading regimen
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