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Follow-up appointments: Based on your B12 levels and your treatment objectives, you might need to have regular check-up appointments to keep track of your progress and see if more treatments are needed
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for infants with neurological involvement or macrocytic anaemia, a 250 g-1mg IM OH-Cbl (preferred) or CN-Cbl daily is recommended on alternate days for 12 weeks then 250 g weekly injections until clinically improved, before switching to oral replacement treatment
The pre-authorization request should include the diagnosis code(s), clinical rationale for the imaging guidance, and documentation of any prior conservative treatment trials (physical therapy, oral medications) that failed to provide relief
