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Though the injection itself must still be performed in person by a qualified professional, telehealth tools can assist in pre-visit assessments, patient education, and follow-up monitoring

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The British National Formulary (BNF) states: For people with neurological involvement Initially administer hydroxocobalamin 1 mg intramuscularly on alternate days until there is no further improvement, then administer hydroxocobalamin 1 mg intramuscularly every 2 months

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It is recommended to bring water, snacks, sunscreen, a hat and appropriate footwear for walking, as the terrain can be uneven and steep in some parts