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These programs typically encompass: Physical Exercise: High-intensity aerobic and resistance training performed 23 times per week, either under hospital supervision or through structured home-based sessions Nutritional Support: Individualized dietary counseling and supplementation, often emphasizing high protein intake (e.g., daily whey protein), to support muscle mass maintenance and recovery

Lengthy timeline protects repair and maximizes healing, though it requires significant patience and commitment

For patients without neurological involvement , hydroxocobalamin 1 mg is administered intramuscularly three times a week for 2 weeks, followed by maintenance injections every three months for life (if due to pernicious anaemia or other non-dietary cause)

doi: 10.1155/2015/376387, PMID: [DOI] [PMC free article] [PubMed] [Google Scholar] 7.Chun S, Gopal J, Muthu M