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Most providers recommend one to two injections per week during the active phase, followed by monthly maintenance sessions

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Because vaccinations are claimed using a separate code, the intramuscular injections should primarily represent vitamin B12 injections

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However, it's essential to consider individual differences, including genetics and conditions like pernicious anaemia, which can significantly influence responses to B12

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper