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Hydroxocobalamin injections are recommended by NICE for treating B12 deficiency caused by pernicious anaemia or malabsorption

These properties may support recovery from intense training , surgery, or illness

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In severe cases, we may consider using the intravenous medication pegloticase (Krystexxa), since it lowers the urate level the most dramatically, and can lead to the fastest shrinkage of the tophus