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Situations that typically call for extra caution include: Complex medical histories Pregnancy or breastfeeding Active cancer or history of certain cancers, depending on individual context Significant cardiovascular or clotting risk factors People taking multiple medications that could complicate the picture This is not meant to scare anyone

[1] [3] The standard UK treatment involves hydroxocobalamin 1mg intramuscular injections, with dosing regimens typically consisting of initial loading doses (e.g., every other day for two weeks) followed by maintenance doses every 2-3 months for conditions like pernicious anaemia