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Elderly Patients Older adults often have reduced stomach acid or atrophic gastritis, leading to poor B12 absorption

This is why most treatment protocols recommend receiving injections once or twice per week

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First you observe some symptoms that clearly tell you that the therapy is going well

Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

Treatment for a frozen shoulder may include physical therapy, corticosteroid injections, and in some cases, surgery to release the scar tissue and improve the range of motion