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According to NICE guidance, hydroxocobalamin injections are the recommended first-line treatment for pernicious anaemia and other malabsorption-related deficiencies

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In wellness settings, theyre commonly used to support energy levels, mental clarity, and recovery in people who may not absorb B12 efficiently from food alone

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Traditionally, NPs have needed standardized procedures with a supervising physician for clinical services including IV therapy administration and peptide prescribing