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For therapeutic correction of deficiency , particularly in cases of pernicious anaemia or malabsorption, hydroxocobalamin injections are considered most effective in UK clinical practice
Neurological symptoms such as paraesthesia, ataxia, and cognitive impairment can occur before haematological changes and may become irreversible if treatment is delayed
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If you are taking the injections for a specific medical reason, for instance, as part of recovery from surgery or illness, your doctor will monitor objective markers
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