48 , 17521753j (2019)
Ann Hematol 94:12611265 Panchal AR, Berg KM, Hirsch KG, Kudenchuk PJ, del Rios M, Cabaas JG, Link MS, Kurz MC, Chan PS, Morley PT, Hazinski MF, Donnino MW (2019) 2019 American Heart Association focused update on advanced cardiovascular life support: use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
By collaborating, we can fine tune your protocol to minimize discomfort until the positive effects prevail
NICE and British Society for Haematology guidelines recommend: Initial treatment with hydroxocobalamin (the preferred form in the UK) via intramuscular injection For patients without neurological involvement: 1 mg IM three times a week for 2 weeks For patients with neurological involvement: 1 mg IM on alternate days until no further improvement Maintenance: 1 mg every 3 months for patients without neurological involvement
Non-B12 causes of persistent symptoms with a high result When symptoms persist and the B12 is high, the symptoms may have nothing to do with B12 at all
