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Monitor levels every 6 months given high-risk status

It's also used to treat certain nerve-related conditions, such as optic neuropathy (damage to the optic nerve)

This is not a complete list and includes frequently reported adverse events

NICE and British Society for Haematology guidelines recommend: Initial treatment with hydroxocobalamin (the preferred form in the UK) via intramuscular injection For patients without neurological involvement: 1 mg IM three times a week for 2 weeks For patients with neurological involvement: 1 mg IM on alternate days until no further improvement Maintenance: 1 mg every 3 months for patients without neurological involvement

Compounded micronutrient injections: Evidence-based dosing guidelines

Kwon Y et al