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The patient must qualify, and the injection must be part of a covered service

As is the case with adipokines, its levels are disturbed in obesity and metabolic disorders

For patients without neurological involvement, the initial regimen is typically 1 mg intramuscularly three times weekly for 2 weeks

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Landscape/Hydroscapes A carefully laid out garden acts as a natural flood warning system

your GP is the right person to manage this long term Any dose adjustments or route changes (for example, switching from oral to intramuscular if oral is not maintaining levels) become GP-led decisions I will provide your GP with a clear handover summarising your pre-operative B12 status, the supplementation used, and recommendations for ongoing monitoring