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A methylcobalamin injection has been shown to lessen inflammation

14 It recommends rapid initiation of alternate-day intramuscular hydroxocobalamin therapy, and maintenance of this treatment until all symptoms have resolved or there is no further neurological improvement, with long term B 12 therapy depending on the presence of deficiency on presentation, together with total abstinence from the use of nitrous oxide

Thus, the discovery of liver juice as a treatment for pernicious anemia had been by coincidence