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It presents with a broad clinical spectrum, ranging from asymptomatic or non-specific symptoms, such as fatigue or lightheadedness, to severe manifestations, including nausea, vomiting, alteration of consciousness, and even coma, which can be life-threatening 3,4

Weekly or biweekly schedules are common but timing varies by client needs

Intramuscular injections : In the UK, hydroxocobalamin is the standard injectable form, typically used for pernicious anaemia, neurological symptoms due to deficiency, or malabsorption conditions

Patients with a history of allergic reactions to similar compounds or excipients present in the preserved formulation should exercise caution