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Some patients, particularly those with neurological involvement, may benefit from more frequent dosing (every 2 months rather than 3 months), but this should be medically supervised rather than self-adjusted
Immediate Care: In a clinical setting, healthcare providers can address immediate concerns or side effects, ensuring safety and well-being
Maintenance doses are given less often than initial doses
For this reason, we based the target weekly absorption from EFSA by dividing their daily recommendations into three meals and applying a formula devised by Stephen Walsh of the UK Vegan Society (see Cyanocobalamin Absorption below)
In some clinical situations, an IV injection or infusion might be used for immediate availability, especially in hospital settings or if the patient is already receiving IV nutrition
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