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Treatment for B12 deficiency without neurological involvement: For patients with haematological manifestations only (macrocytic anaemia) or asymptomatic deficiency, the regimen is hydroxocobalamin 1mg intramuscularly three times weekly for two weeks (total of six injections), followed by maintenance of 1mg every three months for life

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Surgery Surgical options include microdiscectomy (removal of the herniated disc material), laminectomy (removal of bone to relieve pressure), and spinal fusion (permanently joining two or more vertebrae)