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NHS and BNF recommendations typically include: Oral cyanocobalamin 50150 micrograms daily for dietary deficiency Intramuscular hydroxocobalamin for malabsorption or neurological involvement (initially 1 mg every other day for 1-2 weeks for neurological symptoms, or 1 mg 3 times weekly for 2 weeks without neurological symptoms

Run by Invex Therapeutics, it will randomise 240 adult patients with newly diagnosed IIH with papilloedema to determine the efficacy and safety of Presendin, administered once weekly over 24 weeks

It often shows up as a lingering, hard-to-diagnose health disruption