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The most clinically recognised cause is a temporary drop in potassium as your body rapidly makes new red blood cells

If prescribed, your treatment plan may include injection instructions, dose guidance, supplies, follow-up support, and pharmacy coordination

Intramuscular hydroxocobalamin injections represent the standard first-line treatment in the NHS: For deficiency without neurological involvement : Initially 1 mg three times weekly for two weeks, followed by maintenance injections every two to three months lifelong (if the underlying cause cannot be corrected)

These could include symptoms such as itching, a rash/hives, swelling especially around the face or throat, or difficulty breathing

So the dietary intake of vegans and vegetarians may be low in this vitamin