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Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage

Every patient receives individualized medical assessment, customized treatment protocols, integration with your overall healthcare, safety monitoring by a licensed physician, access to diagnostic testing when appropriate, and the ability to address complications or concerns immediately

Monthly 1,000 mcg Maintenance Protocol Once the deficiency is fixed, a monthly maintenance protocol of 1,000 mcg injections is suggested

some people report headache, nausea, lightheadedness, fatigue, or changes in appetite/GI function