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Loren Pickart
Elderly patients should call 999 immediately if they experience difficulty breathing, throat tightness, facial swelling, or widespread rash after B12 administration, as these may indicate a rare but serious allergic reaction requiring emergency treatment
The standard UK regimen involves hydroxocobalamin 1mg intramuscularly on alternate days until no further improvement occurs , typically requiring 1020 injections
No trial reported on clinical signs and symptoms of vitamin B 12 deficiency, health-related quality of life, or acceptability of the treatment scheme Orally taken vitamin B 12 showed lower treatment-associated costs than intramuscular vitamin B 12 in one trial
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