Alternative therapy, such as hydroxocobalamin, is advised
The first day you descend about 15 km to the river, the second day you climb 12 km to Santa Rosa, the third day you climb 8 km to Choquequirao, and the fourth and fifth days you return
doi: 10.1016/s0306-9877(03)00227-5
Additionally, it is also used in the treatment of cyanide poisoning, a condition that can cause rapid breathing, confusion, and seizures
This depends on how well the body responds and what it needs
The well-known geriatrician-haematologist Larry Solomon, working at Yale University in the USA, wrote 20 years ago: if I had treated only those people who actually had too low serum B12 and elevated MMA values, then I would not have treated approximately two-thirds of the people with a favourable response to B12 supplementation (note: partly via injections, partly via oral supplementation)