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It also protects the kidneys and can prevent and relieve fatigue

In the UK, hydroxocobalamin 1 mg intramuscular injection is used: Without neurological involvement : 1 mg three times weekly for two weeks, then maintenance of 1 mg every two to three months With neurological involvement : 1 mg on alternate days until no further improvement in symptoms, then maintenance of 1 mg every two months Lifelong maintenance is required for pernicious anaemia or other irreversible causes of deficiency Oral B12 supplementation may be appropriate for diet-related deficiency in patients without neurological symptoms and with adequate absorption capacity

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Prevalence of vitamin B12 deficiency among exclusively breast fed term infants in South India. Journal of Tropical Pediatrics 67(1) (2021): fmaa114