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In the UK, standard maintenance therapy for pernicious anaemia is typically hydroxocobalamin 1mg by intramuscular injection every three months (or every two months if neurological symptoms are present), as per BNF and NICE guidance

In addition, products from such vendors may contain impurities or harmful chemicals, increasing the risk of adverse effects

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Once your B12 levels are stabilized and your symptoms improve, the team will typically transition you to a maintenance schedule

Because the injection allows for direct absorption, the effects are typically felt much more quickly than with oral supplements

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