However, one study on the treatment of children with methylmalonic acidemia and homocystinuria found oral hydroxocobalamine at 1 mg daily to be ineffective in reducing levels of homocysteine

lentil, ham, leek and potato Snack ideas: 200ml glass of skimmed milk (add 1-2 tsp of skimmed milk powder) or high protein shake or high protein yoghurt or low fat custard or low fat yoghurt Suitable fluids: Try to choose protein rich liquids in between your meals: Skimmed or semi-skimmed milk (try adding dried skimmed milk powder or protein powder) High protein shakes, protein water Other fluids you can have: Still water Marmite, Bovril, consomm, bouillon Clear soups Herbal or fruit teas Tea and coffee (use sweeteners, not sugar) No added sugar/sugar free squash Sugar free jelly Diluted vegetable juice (no bits) Fluids to avoid: Fruit juices, malt drinks and fruit smoothies Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size All alcohol Aim to drink 1.5-2 litres of fluids each day
The right dose and schedule depend on age, weight, and how severe the deficiency is
Daily research amount 300 mcg 5 mg + 1 mL BAC water 6 units 5 mg + 2 mL BAC water 12 units 5 mg + 3 mL BAC water 18 units Daily research amount 500 mcg 5 mg + 1 mL BAC water 10 units 5 mg + 2 mL BAC water 20 units 5 mg + 3 mL BAC water 30 units U-100 syringes contain 100 units per milliliter
It should be used only after a doctor confirms the need for injectable Vitamin B therapy