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It is derived from a protein in the stomach and is purported to help healing of various tissues, including muscles, tendons, ligaments, cartilage, and even the gut
Starting with lower combination doses and escalating gradually enables individual response assessment before reaching full protocol doses
The following is taken from the section, "How should treatment be given", from the peer-reviewed medical-journal article, "The Many Faces of Cobalamin (Vitamin B12) Deficiency": [Start quote] For parenteral therapy in cases of megaloblastic anemia, it has been advised to administer 1000 mg hydroxocobalamin IM twice weekly for a period of 5 weeks, and the dose is reduced to 1000 mg IM every 2 months thereafter
How should treatment response be evaluated and monitored