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Intramuscular injections : In the UK, hydroxocobalamin is the standard injectable form, typically used for pernicious anaemia, neurological symptoms due to deficiency, or malabsorption conditions

Cline MG, Burns KM, Coe JB, et al

2) Functional impairment characterized by universal depletion of anti-inflammatory, SCFA-producing genera including Faecalibacterium , Blautia , and Bifidobacterium

If symptoms persist, temporarily pausing dose escalation or returning to a lower dose may be warranted [25]

Improvement of neurological functions: Strengthens cognitive abilities by stimulating the production and activity of neurons, supporting brain health

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