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Schedule: Daily subcutaneous injections for 812 weeks (extend to 16 weeks if desired)

Ive read many stories of people suffering and trying to convince their doctors and medical team to listen

rare adverse effects include hypersensitivity reactions (including anaphylaxis) and injection-site reactions Report suspected adverse reactions via the MHRA Yellow Card Scheme (yellowcard.mhra.gov.uk) IM hydroxocobalamin is preferred for treatment during pregnancy and breastfeeding Monitoring and follow-up includes: Repeat FBC after 8 weeks to confirm haematological response Assessment of symptom improvement, particularly neurological features No routine monitoring of serum B12 levels once treatment is established, as these become unreliable Addressing underlying causes is essential: Dietary counselling for vegans and vegetarians Review of medications (metformin, PPIs) where appropriate Management of gastrointestinal conditions Cessation of nitrous oxide use if relevant Screening for other autoimmune conditions in pernicious anaemia Patients should be informed that whilst haematological improvements occur within weeks, neurological recovery may take months and may be incomplete if deficiency was prolonged

It may sound unpleasant, but when done right, administering such an injection can be virtually painless, and will allow the absorption of vitamin B12 over a 24-hour period

Consult with your pets veterinarian before administering this medication and follow their specific instructions for use