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Box: Hydroxocobalamin dosing schedule for the management of pernicious anaemia If no neurological involvement: Loading dose: 1,000 micrograms three times per week for two weeks Maintenance dose: 1,000 micrograms every two to three months If neurological involvement: Loading dose: 1,000 micrograms every other day until no further improvement Maintenance dose: 1,000 micrograms every two months Injections are usually administered at a GP surgery, although some patients can be taught to self administer[22]

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Levine AM, Bosse M, Edwards CC

Potential complications can include: problems with the nervous system temporary infertility heart conditions pregnancy complications and congenital disabilities Adults with severe anaemia are also at risk of developing heart failure