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With that in mind, here is a realistic timeline for people who are correcting a genuine deficiency

Follow-Up : Regular follow-up appointments may be necessary to monitor your Vitamin B12 levels and adjust the frequency of injections as needed

Discard and reconstitute a fresh vial if available

For individuals requiring supplementation due to confirmed deficiency or malabsorption, therapeutic doses vary considerably depending on the underlying cause: Dietary deficiency : 50150 micrograms daily orally, or cyanocobalamin tablets as prescribed Pernicious anaemia : Initially hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks, then maintenance injections every two to three months [3] Neurological involvement : More intensive regimens may be required, with hydroxocobalamin injections on alternate days until symptom improvement [3] NICE guidance emphasises that supplementation should be evidence-based rather than speculative

do not restart if pancreatitis is confirmed