Elderly patients tend to have a greater frequency of decreased hepatic, renal, or cardiac function, and also have concomitant disease or receiving other drug therapy
The most important takeaway is that lipotropic injections are supportive tools, not a replacement for healthy habits or provider guidance
For patients without neurological involvement , hydroxocobalamin 1 mg is administered intramuscularly three times a week for 2 weeks, followed by maintenance injections every three months for life (if due to pernicious anaemia or other non-dietary cause)
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Patients may receive weekly or bi-weekly injections, but this can be adjusted based on your response and goals