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Instead, slowly and gently push the plunger, allowing the water to run down the side of the glass and pool at the bottom

And once the concentration is set by the compounder, you cannot adjust it

However, the exact way NNMT works still needs more exploration, and further studies are needed to fully understand and develop treatments focused on NNMT

Prescription and administration: Once B12 deficiency is confirmed, GPs prescribe hydroxocobalamin injections according to standardised protocols: Standard loading regimen: 1mg intramuscularly three times weekly for two weeks Neurological involvement: 1mg intramuscularly on alternate days until no further improvement Maintenance therapy: 1mg every three months for life in pernicious anaemia or malabsorption conditions (or every two months if there was neurological involvement) Injections are typically administered by practice nurses at GP surgeries