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NICE guidance recommends initial treatment with hydroxocobalamin 1mg intramuscularly three times weekly for two weeks, followed by maintenance therapy

Cellular uptake, however, still depends on individual metabolic and physiological processes

At Emerald Wellness, we generally opt to administer B-vitamins through the intramuscular injection route since this is less invasive, but if a patient is already receiving an intravenous infusion such as Vitamin C, we commonly add a balanced mix of B-vitamins to the infusion

Paulson, an endurance athlete who runs a farm outside Fargo, would later suffer from fatigue, brain fog and an elevated heart rate that led doctors to advise her to stop exercising and attend cardiac rehab