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For those with neurological symptoms, hydroxocobalamin 1 mg is given on alternate days until no further improvement is observed, as recommended by NICE guidance and the product information

The 0.9% benzyl alcohol acts as a bacteriostatic preservative, inhibiting microbial growth and allowing multiple needle punctures of the vial septum without compromising sterility

Body composition changes tend to follow over the subsequent months as growth hormone levels stabilise

Don't inject it until the discrepancy is resolved

Then, we change the dose and how often they get it based on test results and how theyre doing

There is no tolerable upper limit for vitamin B12