The standard regimen involves: Loading doses without neurological involvement : 1 mg intramuscularly three times a week for 2 weeks [3] [8] Loading doses with neurological involvement : 1 mg intramuscularly on alternate days until no further improvement [3] [8] Maintenance therapy : 1 mg every 23 months for life in cases of pernicious anaemia or irreversible malabsorption (every 2 months if neurological involvement) [3] [8] This aggressive approach aims to prevent irreversible neurological damage, though recovery of established neuropathy may be incomplete, particularly if treatment is delayed
16 Oral iron Despite its widespread availability in most countries and its very safe track record, vitamin B 12 is rarely prescribed in the oral form
Needle Selection Use a fine, short needle such as a 2831 gauge insulin syringe
Healthcare professionals can then assess whether symptoms represent expected therapeutic effects, require symptomatic management, or indicate a need to modify the treatment regimen
Also - has your GP checked your ferritin levels, done a full iron panel (better marker of true iron status), checked your folate levels
