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According to the NICE Clinical Knowledge Summary (CKS) and the British National Formulary (BNF) , the standard treatment for B12 deficiency without neurological symptoms involves: Hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks Followed by maintenance doses of 1 mg every three months For patients with neurological symptoms (such as paraesthesia, numbness, cognitive changes, or gait disturbances), more intensive treatment is required: Hydroxocobalamin 1 mg intramuscularly on alternate days until no further improvement occurs Followed by 1 mg every two months for maintenance Pernicious anaemia , an autoimmune condition where the body cannot produce intrinsic factor, requires lifelong treatment

Those embarking on or maintaining a healthy lifestyle change who want additional metabolic support

It can help regulate metabolism and support fat loss when used correctly under guidance

Pyridoxine HCl (B6) (B P)

10.1074/jbc.M510562200

Who Is a Good Candidate for B12 and Lipo Shots