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Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage

Gently tap the syringe with your fingers until the air bubbles rise to the top, near the needle

This method bypasses the digestive system, allowing for immediate absorption and utilization by the body

Others prefer morning injections because any nausea resolves by bedtime

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In response to these changes, in 2020 an international group of experts proposed a new classification, termed metabolic dysfunction-associated fatty liver disease (MAFLD) [16, 17]