The medication is administered once weekly via subcutaneous injection, with doses typically initiated at 2.5 mg once weekly for 4 weeks, then escalated (e.g., to 5 mg, 7.5 mg, 10 mg, 12.5 mg, or 15 mg) based on response and tolerability as per the SmPC
It is one of the bodys oldest regulators
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There may be a tradeoff with the safety profiles though, to creatine's advantage, so perhaps a smaller effect is acceptable given the lower risk
However, once it is diagnosed, regular injections of vitamin B 12 will prevent symptoms from returning