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Realistic expectation-setting: It is not a substitute for diet & exercise

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Symptoms of deficiency, including fatigue, numbness, cognitive fog, and mood changes, may return over weeks to months

[1] [3] The standard UK treatment involves hydroxocobalamin 1mg intramuscular injections, with dosing regimens typically consisting of initial loading doses (e.g., every other day for two weeks) followed by maintenance doses every 2-3 months for conditions like pernicious anaemia

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Trouble focusing, memory lapses, and a general mental haze are common neurological symptoms of low B12