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Use your free hand to pinch a fold of skin at the injection site

Treatments are customized , and weekly or monthly doses may be recommended based on individual needs

Important limitations include: limited human clinical research

Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections

Severe, long-standing damage may take longer or may be permanent, which is why early treatment matters