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Results increased in a dose dependent manner during my experiments

Blue Cross and Blue Shield of Kansas pharmacy and medical staff work closely with our pharmacy benefit manager, Prime Therapeutics, to study the latest data and research about these therapies

Intramuscular (IM) B12 injections using hydroxocobalamin, the preferred licensed form in the UK are recommended when: Oral supplementation has failed to correct a documented deficiency The patient has difficulty adhering to daily oral regimens Serum B12 levels remain persistently low despite adequate oral dosing There is clinical evidence of neurological or haematological complications In line with BNF guidance, the standard IM regimen for confirmed deficiency without neurological involvement is a loading course of 1 mg hydroxocobalamin on alternate days for two weeks , followed by maintenance of 1 mg every three months

When assessing changes in HbA1c, there was a significant reduction in these levels seen after 32 weeks of treatment in comparison to baseline levels in the experimental groups receiving a combined treatment