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In the UK, hydroxocobalamin is the standard form used for intramuscular injections, and routine monitoring of serum B12 levels during replacement therapy is generally not required once treatment is established

doi: 10.1038/s41429-021-00436-z 78 GottwaldEMDussMBugarskiMHaenniDSchuhCDLandauEMet al

The following are the ones we see most often: Pain, redness, or swelling at the injection site

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However, for milder cases of ID, the MCV may not have fallen below the normal range

Because when I go to the literature now it's a little bit tough because the cadavers that you looked at in medical school, not all of them are processed on the same timeline