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After a single hydroxocobalamin injection, therapeutic levels can be maintained for approximately 8 to 12 weeks in most patients, which aligns with the standard maintenance schedule of injections every 2-3 months recommended in the British National Formulary (BNF)

The presence of melena typically indicates upper gastrointestinal bleeding, which can be a serious condition requiring immediate medical attention. To understand black stool after surgery , lets look at possible causes and what they mean in the table below: In summary, while some stool changes after surgery are normal, black stool is a red flag