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Deficiency can lead to macrocytic anaemia, neurological symptoms including peripheral neuropathy, cognitive changes, and fatigue

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Topical: mild irritation , redness or dryness

[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

usually used to assess the nutrient intakes of groups of people and to plan nutritionally adequate diets for them