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The rate of infusion for the second dose may range from 15 minutes (for patients in extremis) to two hours, as clinically indicated

Populations at a higher risk of vitamin B12 deficiency include people who are vegetarian or vegan, exclusively breastfed infants of vegan women, older adults, those with gastrointestinal disorders or who have had gastrointestinal surgery, and people with an autoimmune condition known as pernicious anemia

Hydroxocobalamin Drugs (BNF/NICE)

If you are low in B, an appropriate supplementation will be added

Plateaus happen when metabolism adapts to caloric changes

Because a perfectly measured dose of degraded peptide delivers nothing