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Intramuscular (IM) hydroxocobalamin is the recommended first-line treatment for pernicious anaemia in the UK, as advised by NICE and the British Society for Haematology

Manufactured by Hilton Pharma, Mabil Injection plays a vital role in DNA synthesis, myelin sheath repair, and neurological health

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(3) Because vitamin B12 and folate work closely together, many healthcare professionals recommend evaluating both nutrients when symptoms of deficiency are present

Some practitioners implement cycling approaches (such as 12 weeks on, 4-8 weeks off), though no published research directly compares continuous versus cycled protocols