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Neurological problems from B12 deficiency may be permanent

[3] Dosage Dosing of hydroxocobalamin should be individualized based on the severity of vitamin B deficiency and clinical response

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As an important coenzyme, it is required by every cell in the body and influences in particular: blood formation, nerve protection, cell division, DNA synthesis, neurotransmitter production, energy generation and the protein metabolism

For some patients, IM therapy may provide an effective alternative to oral supplements and a more accessible complement to IV therapy