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For patients without neurological involvement , hydroxocobalamin 1 mg is administered intramuscularly three times a week for 2 weeks, followed by maintenance injections every three months for life (if due to pernicious anaemia or other non-dietary cause)

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Its a synthetic version of a protein naturally found in human digestive fluid

"Perspective: Practical Approach to Preventing Subclinical B12 Deficiency in Elderly Population"

High tumor necrosis factor-alpha levels in cerebrospinal fluid of cobalamin-deficient patients