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The results are mixed: some musculoskeletal studies show enhanced local healing with proximal injection, while others show comparable efficacy between subcutaneous and peri-lesional routes

Educating patients about the purpose, function, and proper use of CGMS empowers them to actively participate in their diabetes management and make informed decisions based on the collected data

NICE and British Society for Haematology guidelines recommend: Initial treatment with hydroxocobalamin (the preferred form in the UK) via intramuscular injection For patients without neurological involvement: 1 mg IM three times a week for 2 weeks For patients with neurological involvement: 1 mg IM on alternate days until no further improvement Maintenance: 1 mg every 3 months for patients without neurological involvement

It also shows an enhancement in physical performance, While this evidence is very promising, its still early in the research process

Avoid antacids and calcium supplements around meal-times

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