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Severe liver dysfunction, as the liver plays a key role in metabolizing lipotropic compounds

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At Emerald Wellness, we generally opt to administer B-vitamins through the intramuscular injection route since this is less invasive, but if a patient is already receiving an intravenous infusion such as Vitamin C, we commonly add a balanced mix of B-vitamins to the infusion

NICE guidance recommends initial treatment with hydroxocobalamin 1mg intramuscularly three times weekly for two weeks, followed by maintenance therapy