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According to NICE Clinical Knowledge Summaries and the British National Formulary , the standard treatment is intramuscular injections of 1,000 mcg (1 mg) hydroxocobalamin

or as passing blood instead of water. Depending on experience, culture, and socioeconomic background, it will be said to resemble Coca-Cola, strong tea, or port wine

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Even in bacteriostatic water

The day of weekly administration can be changed, if necessary, as long as the time between the two doses is at least 3 days (72 hours)

Thats especially true if your psoriasis symptoms are causing you to feel stressed or anxious