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According to NICE guidance, hydroxocobalamin injections are the recommended first-line treatment for pernicious anaemia and other malabsorption-related deficiencies
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If you are concerned about pain, you can numb the injection site for five to 10 minutes with ice
Its important to check how well the treatment is working and adjust it if needed
For B12 injections, gauges between 22 and 27 are typically used
Common schedules include weekly injections for initial deficiency correction, then bi-weekly or monthly injections for maintenance, or as-needed for energy or performance boosts
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