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They are a non-surgical option for elbow pain associated with joint inflammation, tendon degeneration, ligament injuries, and chronic elbow conditions

Child Health 44 , 686691 (2008)

However, a bone marrow biopsy with cytogenetic analysis was planned in case pancytopenia did not resolve with vitamin supplementation

For individuals requiring supplementation due to confirmed deficiency or malabsorption, therapeutic doses vary considerably depending on the underlying cause: Dietary deficiency : 50150 micrograms daily orally, or cyanocobalamin tablets as prescribed Pernicious anaemia : Initially hydroxocobalamin 1 mg intramuscularly three times weekly for two weeks, then maintenance injections every two to three months [3] Neurological involvement : More intensive regimens may be required, with hydroxocobalamin injections on alternate days until symptom improvement [3] NICE guidance emphasises that supplementation should be evidence-based rather than speculative