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Preventive medications include medicines for blood pressure control, antidepressants, anti-seizure drugs, botox injections, and CGRP monoclonal antibodies

NICE and British Society for Haematology guidelines recommend: Initial treatment with hydroxocobalamin (the preferred form in the UK) via intramuscular injection For patients without neurological involvement: 1 mg IM three times a week for 2 weeks For patients with neurological involvement: 1 mg IM on alternate days until no further improvement Maintenance: 1 mg every 3 months for patients without neurological involvement

How to give B12 Swallowed B12 is not recommended as many kids with autism have compromised GI function, and therefore it is not well absorbed

It is widely used in feline IBD management and is available from Mixlab in capsules, tablets, oral liquid, transdermal cream and chewable formulations

[16] [18] There is insufficient evidence to determine the risk of adverse outcomes in human pregnancies, and thus, use during pregnancy should be guided by clinical judgment and individual risk assessment

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