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[2] [1] For patients with neurological symptoms , hydroxocobalamin 1 mg is given intramuscularly on alternate days until no further improvement occurs, followed by maintenance injections every two months for life
Interestingly, the HMO composition varies between women and it is thought that this variation is genetic
To stop permanent damage, deficiencies must be identified early and treated
Injections provide higher blood concentrations than oral supplements due to their direct route into the bloodstream which allows for greater absorption rates resulting in more effective results with fewer doses required over time compared with oral supplements
Comment: Several commenters recommended refinements to the time thresholds established for the numerator components of the Emergency Care Access & Timeliness eCQM