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Description
Vitamin B12 the standard UK approach, as recommended by BOMSS, is hydroxocobalamin 1 mg by intramuscular (IM) injection every three months, lifelong

You can inject in several different sites
You need layered clothing for the extreme cold: Thermal base layer (top and bottom) Fleece or down vest/jacket Waterproof and windproof jacket Trekking pants Gloves, wool hat, and scarf/neck gaiter Trekking boots with good grip Also bring sandals to use at the campsites

National Academies Press

B12 Intravenous Dose Considerations: The Fourth Key Guideline Administering B12 intravenously is a detailed process

Therefore, in the CY 2023 HH PPS final rule we finalized a policy to update the LUPA thresholds for CY 2023 using data from CY 2021