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For those with neurological symptoms, hydroxocobalamin 1 mg is given on alternate days until no further improvement is observed, as recommended by NICE guidance and the product information

also helpful to boost cognitive function and energy, and boost metabolism

Many patients report that after about 4 weeks of weekly injections, they observe improvements such as more steady energy levels and easier weight loss progress

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While not a complete solution to muscle loss, it offers some protective effect when combined with adequate dietary protein and resistance training