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Intramuscular replacement therapy is indicated for patients with: Significant B12 deficiency (thresholds depend on local laboratory reference ranges) Neurological symptoms or signs Pernicious anaemia Malabsorption syndromes The standard UK regimen for patients without neurological involvement involves hydroxocobalamin 1mg intramuscularly three times weekly for two weeks, followed by maintenance injections every 2-3 months (often 3-monthly)

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Studies have shown that about 66% of patients demonstrate these micronutrient deficiencies after bariatric surgery, sleeve gastrectomy, and gastric bypass, which include vitamin B1 ( thiamin), vitamin B12, vitamin C, and zinc

It's now been 3 1/2 months since my last 6 injections in two weeks which I didn't think I needed