The situation in the NHS is dire now Yes its possible to get a private referral to a consultant , at a cost ( 250.00!)
Hydroxocobalamin is the form used in the UK because it stays in the body longer than the alternative
The MHRA has issued warnings about unlicensed injectable products, particularly those obtained online or administered in non-clinical settings, due to concerns about contamination, incorrect dosing, and lack of quality assurance
The temptation to escalate the dose because nothing is happening yet is exactly the mistake the timeline section is designed to head off the mechanism is cumulative, not dose-chased
These can include redness or soreness at the injection site, which usually resolves within a few hours to days
Gastrointestinal side effects such as nausea typically peak during dose escalation and often improve within the first few months as your body adjusts