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Some researchers find that they can reduce their dose to 1.7 mg after reaching their target and maintain results, though this should be discussed with a healthcare provider

These changes seem small on paper

Administering the adverse reactions and examining the medication carefully

For example, 2 mg is equal to 2,000 mcg

For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement

For a full 20-week protocol that includes initiation, escalation, and maintenance, most researchers need three to five 20mg vials depending on their chosen titration speed