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Eventually, the skin begins to lose some of its renewed firmness and enhanced texture, leading to the need to make a new appointment
Its only available on prescription and is usually administered by intramuscular shot or in an IV drip
The 2024 NICE update was explicit on one point: do not rule out B12 deficiency just because the standard blood count looks normal
Things to Consider: Its affordable, but the taste might not be for everyone
It is also used to treat pernicious anemia, vitamin B 12 deficiency (due to low intake from food or inability to absorb due to genetic or other factors), thyrotoxicosis, hemorrhage, malignancy, liver disease and kidney disease
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If neurological symptoms worsen or fail to improve after four to six weeks of appropriate treatment , further investigation is necessary to exclude alternative diagnoses or complications
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