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The new guidelines from the British Committee for Standards in Haematology state that you should treat based on symptoms alone

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After an initial loading phase of six injections over two weeks (or more frequently if neurological symptoms are present), maintenance injections are given every two to three months for life to prevent deficiency recurrence

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If vitamin B12 injections are not suitable or necessary for your situation, alternative supplementation methods such as oral supplements or patches may be recommended by your healthcare professional

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