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When neurological symptoms are present, more intensive treatment is required: 1 mg hydroxocobalamin on alternate days until no further improvement occurs, followed by maintenance therapy every two months

Gentler on the Body: Since oral supplements release B12 gradually, they provide consistent energy without the spikes and drops associated with injections

Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage

Fortified foods usually include milk alternatives and breakfast cereals, and selections vary depending on the country