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The standard regimen involves: Loading doses without neurological involvement : 1 mg intramuscularly three times a week for 2 weeks [3] [8] Loading doses with neurological involvement : 1 mg intramuscularly on alternate days until no further improvement [3] [8] Maintenance therapy : 1 mg every 23 months for life in cases of pernicious anaemia or irreversible malabsorption (every 2 months if neurological involvement) [3] [8] This aggressive approach aims to prevent irreversible neurological damage, though recovery of established neuropathy may be incomplete, particularly if treatment is delayed

While oral supplements can support general nutrition, injections offer significantly higher absorption rates

However, if you have insulin resistance or diabetes, you should still monitor blood sugar closely and consult a healthcare provider before use

Therapeutic Plasma Exchange at Next Health includes a Baseline Test and a Total Tox Burden Test before each session