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Supranerv 1500 MCG Injection is commonly recommended for neuropathy, diabetic nerve pain, pernicious anemia, and general B12 deficiency

After written consent was obtained, the desensitisation procedure began with 15-min intervals, and the desensitisation process started with increasing doses, one, two and four-week intervals, were similar to literature

The diagnosis of vitamin B12 deficiency typically relies on low total B12 levels and elevated concentrations of homocysteine (Hcy), as well as levels of transcobalamin-bound B12 (holoTC) and methylmalonic acid (MMA), which serve as functional indicators of cobalamin insufficiency (Carmel and Sarrai, 2006)

Early treatment is key to prevent long-term neurological damage