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The most useful idea is this: redness that comes and goes is usually about triggers and your skin barrier, while redness that stays and shows visible vessels is usually vascular, and vascular redness is exactly what light-based treatments target

Intramuscular (IM) B12 injections using hydroxocobalamin, the preferred licensed form in the UK are recommended when: Oral supplementation has failed to correct a documented deficiency The patient has difficulty adhering to daily oral regimens Serum B12 levels remain persistently low despite adequate oral dosing There is clinical evidence of neurological or haematological complications In line with BNF guidance, the standard IM regimen for confirmed deficiency without neurological involvement is a loading course of 1 mg hydroxocobalamin on alternate days for two weeks , followed by maintenance of 1 mg every three months

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Most community protocols run 8 to 12 weeks on, then 4 weeks off