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Hydroxocobalamin 1mg is the standard UK formulation, typically administered every two to three months for maintenance therapy Self-administration requires GP prescription, competency training from practice nurses, and demonstration of proper injection technique Common injection sites include the thigh (vastus lateralis) for both intramuscular and subcutaneous administration with site rotation essential Serious side effects are rare but anaphylaxis requires immediate 999 call

One of those places is the endothelial cells lining blood vessels that supply white adipose tissue

The injection might be in between the vertebrae, at the exit of the spinal canal, or just above the tailbone