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It is for this reason that the latter is not routinely available on the NHS and hydroxocobalamin is the preferred treatment
Underlying Cause: Conditions like pernicious anemia or gastrointestinal disorders may slow recovery if not managed alongside the deficiency
Injections such as Lipo-B and Lipo-C are often stable at room temperature, making them easier to store for at-home users
Continued improvement with consistent use
Among the 25 studies included in the qualitative synthesis (16 in the meta-analysis), 15 focused specifically on serum cobalamin changes (reported by baseline and post-treatment means and standard deviations in pg/mL) and 10 reported homocysteine outcomes (means and standard deviations in mmol/L)
