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Position the needle tip against the inside glass wall of the vial, not pointing at the powder

The NICE Clinical Knowledge Summary for vitamin B12 deficiency outlines specific treatment schedules: for patients without neurological symptoms, hydroxocobalamin 1 mg intramuscularly three times a week for 2 weeks

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Not using full protocol Mistake : Stopping after 1-2 weeks when feeling better

What is Hydroxocobalamin

A lack of stomach acid occurs in elderly patients and among people taking proton pump inhibitors, leading to poor digestion of the vitamin from animal products