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2025;390 doi: 10.1136/bmj.r1606

Stay well-hydrated by drinking plenty of water, and avoid alcohol for at least 24 hours post-treatment, as alcohol can thin the blood and heighten the risk of bruising

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For treatment of confirmed deficiency , NHS protocols typically involve hydroxocobalamin injections: initially 1mg three times a week for two weeks for those without neurological involvement, followed by maintenance injections every 2-3 months