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Patients completed 3 sets of 15 reps twice per day, 7 days per week for 12 weeks and progressed load with a weighted back pack

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WHAT’S INCLUDED 10 × 1mg methylcobalamin B12 ampoules (1 mL each) Sterile syringe and needles for intramuscular injection Alcohol swab and gauze Sharps container Detailed written self-injection guidance Ampoule opener available on request UK clinic support if you have questions about your kit or injection technique TYPICAL SCHEDULE A common starting schedule is one injection weekly for 6 weeks, followed by one injection every 4–6 weeks for maintenance, subject to clinician review