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Its necessary for the manufacture of red blood cells, and it plays a key role in how your body creates energy

Methylcobalamin B12 An active form of vitamin B12 that helps convert fats and carbohydrates into energy while supporting metabolism, blood cell production, and proper nerve health

Initial treatment for patients with neurological involvement follows British National Formulary (BNF) guidance: Hydroxocobalamin 1 mg intramuscularly on alternate days for approximately 2-3 weeks (or until no further improvement) Maintenance therapy then consists of hydroxocobalamin 1 mg intramuscularly every two months Hydroxocobalamin is preferred over cyanocobalamin in the UK due to superior retention and fewer injections required