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EMBO J 42:e112559

Other stomach or small intestine problems can also block B12 absorption

Hydroxocobalamin is a prescription-only medicine (POM) that should be administered by appropriately trained healthcare professionals, typically following a standard regimen of loading doses (e.g., 1mg on alternate days for 1-2 weeks) followed by maintenance doses (1mg every 2-3 months, or every 2 months if neurological symptoms are present)
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Blood 2005 105:978-985

Tests like vitamin B12 levels and blood counts help guide the dosing
