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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
It works best when 2 or 3 shots are given over several months
You can take medication cooling packs with you on the flight if needed
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These include topical creams, chemical peels, laser treatments, and sun protection
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