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Many patients with pernicious anaemia are treated with lifelong intramuscular vitamin B12 replacement

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Methyl-B12 (methylcobalamin) injections support cellular energy production, enhance neurological function, and promote mental clarity

Sixty patients aged 65 and older were randomly assigned to either a loading dose regimen (daily administration for 14 days followed by weekly doses) or a regimen without a loading dose (administration every 3 days) over 90 days