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Here are some times to consider changing the dose: If treatment isnt working well, increase the dose or how often its given If B12 levels are too high, lower the dose Change the dose if the patients health changes or new issues come up By sticking to these guidelines, doctors can make B12 treatment better for each patient
The standard regimen involves: Loading doses without neurological involvement : 1 mg intramuscularly three times a week for 2 weeks [3] [8] Loading doses with neurological involvement : 1 mg intramuscularly on alternate days until no further improvement [3] [8] Maintenance therapy : 1 mg every 23 months for life in cases of pernicious anaemia or irreversible malabsorption (every 2 months if neurological involvement) [3] [8] This aggressive approach aims to prevent irreversible neurological damage, though recovery of established neuropathy may be incomplete, particularly if treatment is delayed
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Mechanism of action (MOA): Metformin help to control blood glucose level by reducing hepatic glucose production by activating AMPK enzyme and by increasing insulin sensitivity it increasing glucose uptake in muscle and fat tissue
By Sandra C
Nutrients are injected directly into the bloodstream
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