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Intramuscular hydroxocobalamin injections represent the standard treatment for most cases: Initial loading regimen : For patients with neurological symptoms, 1 mg on alternate days until no further improvement occurs (typically 2–3 weeks)

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Ocrelizumab, which is sometimes called an Ocrevus injection, is an intravenous injection used to treat various types of multiple sclerosis, such as clinically isolated syndrome, active secondary progressive disease, relapsing-remitting MS (RRMS), and primary progressive multiple sclerosis (PPMS)