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Department of Health and Human Services, ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/

At the beginning of the treatment, 1 ampoule with 1 mlvitamin B 12 Lichtenstein (corresponding to 1000 micrograms of cyanocobalamin) is added twice a week in the first weeks after diagnosis.12 Lichtenstein is usually administered intramuscularly (injected into a muscle)

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According to a study by Obeid et al., a widely accepted expert consensus on diagnosing and treating vitamin B12 deficiency, recognized that untreated deficiency can lead to irreversible symptoms