Results are typically visible within a few weeks of starting, with more significant progress occurring over several months as the treatment continues
Prescription and administration: Once B12 deficiency is confirmed, GPs prescribe hydroxocobalamin injections according to standardised protocols: Standard loading regimen: 1mg intramuscularly three times weekly for two weeks Neurological involvement: 1mg intramuscularly on alternate days until no further improvement Maintenance therapy: 1mg every three months for life in pernicious anaemia or malabsorption conditions (or every two months if there was neurological involvement) Injections are typically administered by practice nurses at GP surgeries
This can affect how energized or resilient the body feels
Notes that high-dose niacin passes into breast milk and that lipid-altering doses could pose risks to nursing infants, recommending caution or avoidance of such doses during breastfeeding)
For example, one study measured each state's support for family caregivers using a statespecific ranking criterion on home and communitybased services generated by the AARP's Scorecard
Norby FL, Wold LE, Duan J, Hintz KK, Ren J
