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This is important because rapid IV administration can lead to sudden shifts in electrolytes particularly potassium which may result in hypokalemia and, in severe cases, cardiac complications

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Oral supplements often dont provide the full benefits due to limited absorption in the digestive tract

Our maintenance dose is listed in the NICE Guidelines with neurological involvement at two monthly intervals and without at three monthly intervals

For Severe Deficiency and Medical Conditions : Hydroxocobalamin injections are preferred, especially if you need long-lasting effects or have absorption issues