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This restriction applies regardless of body weight, metabolic status, or how well other treatments might work

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But even these states may soon change their minds

[1] [3] The standard UK treatment involves hydroxocobalamin 1mg intramuscular injections, with dosing regimens typically consisting of initial loading doses (e.g., every other day for two weeks) followed by maintenance doses every 2-3 months for conditions like pernicious anaemia