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Intramuscular (IM) hydroxocobalamin is the recommended first-line treatment for pernicious anaemia in the UK, as advised by NICE and the British Society for Haematology

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A blood test can also check whether you are lacking the all-important intrinsic factor

Cobalt Allergy Symptoms The symptoms of cobalt allergy can vary widely among individuals but typically include: Skin Reactions : Redness, itching, and rashes are common, especially in areas that come into direct contact with cobalt-containing items

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However, they may not be suitable for everyone