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It is not approved by the FDA for clinical use, diagnostics, or therapeutic procedures in humans or animals

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For confirmed B12 deficiency without neurological involvement , the standard regimen comprises 1 mg hydroxocobalamin intramuscularly three times weekly for two weeks, followed by maintenance doses every two to three months for those with irreversible causes like pernicious anaemia

There are no Inca stairs or flat paths: its constant uphill and downhill, with very steep sections, especially the descent to Capuliyoc and the climb back up from the river