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Nearly two-fifths of the US population has a marginal amount of vitamin B12 (cobalamin) in their bodies, consequently putting them at a high risk of a deficiency

Treatment for B12 deficiency without neurological involvement: For patients with haematological manifestations only (macrocytic anaemia) or asymptomatic deficiency, the regimen is hydroxocobalamin 1mg intramuscularly three times weekly for two weeks (total of six injections), followed by maintenance of 1mg every three months for life

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If patients continue to have seizures despite folic acid supplementation, additional antiseizure medicatoins should be considered

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