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The FDA-designated label for cyanocobalamin states that it can be given either intramuscularly or subcutaneously

While it is not the only possible cause of dementia, vitamin B12 deficiency has been reliably linked to (an often reversible form of) dementia

Doses above 125mg should split across multiple sites or use oral administration

NICE guidelines recommend hydroxocobalamin 1 mg intramuscularly three times weekly for 2 weeks (without neurological involvement) or on alternate days until no further improvement (with neurological symptoms)

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