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Dosage And Administration Intramuscular injection: a single dose, 4 ~ 12ml for foals and calves

According to the NICE Clinical Knowledge Summary (CKS) and the British National Formulary (BNF) , the standard treatment for B12 deficiency without neurological symptoms involves: Hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks Followed by maintenance doses of 1 mg every three months For patients with neurological symptoms (such as paraesthesia, numbness, cognitive changes, or gait disturbances), more intensive treatment is required: Hydroxocobalamin 1 mg intramuscularly on alternate days until no further improvement occurs Followed by 1 mg every two months for maintenance Pernicious anaemia , an autoimmune condition where the body cannot produce intrinsic factor, requires lifelong treatment

In this method, M-protein can be assessed by immuno-capture and liquid chromatography coupled to high-resolution mass spectrometry, without potential interference by a therapeutic antibody

Homocysteine Homocysteine is another way to assess Vitamin B12 levels, it is not as specific as MMA because high homocysteine levels can also indicate a deficiency in B2, B6, folate, and B12

You almost turn into its funny because I used to laugh at old people when they tell me this, that they just wake up at night and walk around the house and check stuff out and look outside