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The NHS guidance on hydroxocobalamin and the BNF entry are the references to follow, alongside the leaflet in your pack

Also, high-dose B12 has been linked to acneiform eruptions in some case reports and reviews (Bahbouhi et al., 2023) as described in the PubMed record

Cover Photo Illustration by: Las Vegas Medical Institute.

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Initially, a person may need B12 supplementation shots every other day for around 2 weeks or until symptoms improve