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For patients who are under nothing per orem (NPO) For patients who are under nothing per orem (NPO) Ensure appropriate adjustments in insulin dosage and regimen for patients who are NPO

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Hydroxocobalamin is a prescription-only medicine (POM) that should be administered by appropriately trained healthcare professionals, typically following a standard regimen of loading doses (e.g., 1mg on alternate days for 1-2 weeks) followed by maintenance doses (1mg every 2-3 months, or every 2 months if neurological symptoms are present)

Intramuscular Injection Advantages This method is easy and accessible If healthcare professionals or family is not available, you can do it yourself