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Hydroxocobalamin 1mg is the standard UK formulation, typically administered every two to three months for maintenance therapy Self-administration requires GP prescription, competency training from practice nurses, and demonstration of proper injection technique Common injection sites include the thigh (vastus lateralis) for both intramuscular and subcutaneous administration with site rotation essential Serious side effects are rare but anaphylaxis requires immediate 999 call

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Other foods high in selenium are beef, chicken, fish, organ meats, cottage cheese, and brown rice

For mildly affected individuals not wearing eye protection, miosis is commonly seen

3 The lack of any significant improvements in the outcome of pancreatic cancer indicates that novel treatment strategies are urgently required
