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For treatment of confirmed deficiency , NHS protocols typically involve hydroxocobalamin injections: initially 1mg three times a week for two weeks for those without neurological involvement, followed by maintenance injections every 2-3 months

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In addition to virtual consultation with our physical and occupational therapistss, we also offer integrative health services with Jandra Mueller, DPT, MS

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2025;390 doi: 10.1136/bmj.r1606

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The right choice depends on diagnosis, labs, diet, and medications, so avoid self-prescribing

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