But, side effects like skin rash, diarrhea, and anxiety can happen
Dosing information Usual Adult Dose for Pernicious Anemia: Initial dose: 100 mcg intramuscularly or deep subcutaneous once a day for 6 to 7 days If clinical improvement and reticulocyte response is seen from the above dosing: 100 mcg every other day for 7 doses, then: 100 mcg every 3 to 4 days for 2 to 3 weeks, then: Maintenance dose: 100 to 1000 mcg monthly Duration of therapy: Life Comments: Administer concomitant folic acid if needed
It is possible that the effects are additive, that they are redundant, or that combining approaches produces unexpected outcomes
It is especially common among older adults, individuals with specific health conditions, children, or those following predominantly or exclusively plant-based diets
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