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NICE guidance recommends intramuscular hydroxocobalamin as first-line treatment for B12 deficiency caused by pernicious anaemia or malabsorption
The required dose is 20 to 40 mg/kg (i.e., 12 g in two divided doses) and significant effects are reported within a period of 3 months.[] ADVERSE EFFECTS ASSOCIATED WITH ORAL PREPARATIONS Local side effects can be expected like soreness of the gums caused by sucking the lozenges
Given this, the length of the needle is somewhat optional
Commentary: nonalcoholic or metabolic dysfunction-associated fatty liver disease
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