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Weekly injections in this phase are important for: Keeping B12 stores full Watching how the patient responds and adjusting as needed Starting to move to less frequent injections Maintenance Phase: Monthly Injections After the first two phases, maintenance therapy starts with monthly injections
Two common forms include cyanocobalamin and hydroxocobalamin
Item #: 29410723
[5] Disruption of these pathways leads to accumulation of homocysteine and methylmalonic acid, metabolic signatures linked to megaloblastic anemia and demyelinating neuropathy
This isnt just typical afternoon sluggishness
Mild nausea or a temporary drop in blood pressure
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