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For treatment of confirmed deficiency , NHS protocols typically involve hydroxocobalamin injections: initially 1mg three times a week for two weeks for those without neurological involvement, followed by maintenance injections every 2-3 months

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The COA reports HPLC purity (99%), mass spectrometry identity confirmation, visual appearance, residual solvents, and moisture content for the exact lot shipped

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If you are unable to reach a doctor, a pharmacist may be able to provide interim advice on either self-treatment or possible over-the-counter medications

Vitamin B12 (cobalamin) is a water-soluble vitamin that your body needs for several critical functions