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For individuals requiring supplementation due to confirmed deficiency or malabsorption, therapeutic doses vary considerably depending on the underlying cause: Dietary deficiency : 50150 micrograms daily orally, or cyanocobalamin tablets as prescribed Pernicious anaemia : Initially hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks, then maintenance injections every two to three months [3] Neurological involvement : More intensive regimens may be required, with hydroxocobalamin injections on alternate days until symptom improvement [3] NICE guidance emphasises that supplementation should be evidence-based rather than speculative

Because ordering something off the internet and injecting it into your body every day without knowing the source, the quality, or the oversight is not a risk worth taking

On the pathological side, the current evidence is broadly reassuring

Commonly found in dairy (which both diets eschew), its also abundant in fruits and leafy greens, which are included in The Paleo Diet