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Griselda P

In summary, the implementation of the proposals outlined in this final rule for the HH QRP is estimated to decrease the burden on HHAs by $437 per HHA annually, or $5,123,430 for all HHAs annually

Am J Clin Nutr 2001;74(2):23341

For individuals requiring supplementation due to confirmed deficiency or malabsorption, therapeutic doses vary considerably depending on the underlying cause: Dietary deficiency : 50150 micrograms daily orally, or cyanocobalamin tablets as prescribed Pernicious anaemia : Initially hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks, then maintenance injections every two to three months [3] Neurological involvement : More intensive regimens may be required, with hydroxocobalamin injections on alternate days until symptom improvement [3] NICE guidance emphasises that supplementation should be evidence-based rather than speculative