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Description
The BNF recently (2019) changed its guidance for the frequency of injections of hydroxocobalamin: Every 2 months in patients who have neurological symptoms Every 2 or 3 months when there are no neurological symptoms
The key to a painless injection generally comes with the speed at which I pierce my skin, travel through the sub-derma, sub-cutaneous fat and into the muscle
The side effect profile is not trivial
An essential vitamin yes but it often played second fiddle to vitamin C, D and Omega-3
