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UK guidance recommends hydroxocobalamin 1mg intramuscularly with dosing frequency determined by presence of neurological involvement

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While we accounted for a significant number of relevant confounding variables, there is still the possibility of unmeasured confounders that might impact our results, such as dietary habits, including food history and stress levels

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The general advice seems to be "take just enough but not too much." This advice isn't too different from that for all vitamins and drugs