In the UK, standard maintenance therapy for pernicious anaemia is typically hydroxocobalamin 1mg by intramuscular injection every three months (or every two months if neurological symptoms are present), as per BNF and NICE guidance
These deliver the entire dose directly into the bloodstream, avoiding digestive limitations
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Support for B-vitamin deficiency-related neuropathies: may be considered in cases of peripheral neuritis, numbness, paresthesia, or neuropathic pain where B-vitamin deficiency is suspected or confirmed
Researchers designing studies should carefully consider the evidence gap
Methyl-Lifes Sublingual Hydroxy B12 Tablets offer exceptional value, providing one of the most cost-effective options for Hydroxy B12 supplementation available over-the-counter