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If you have a balance sitting in your account in November or December, starting your GLP-1 journey is a productive way to use those funds before they disappear

Prescription and administration: Once B12 deficiency is confirmed, GPs prescribe hydroxocobalamin injections according to standardised protocols: Standard loading regimen: 1mg intramuscularly three times weekly for two weeks Neurological involvement: 1mg intramuscularly on alternate days until no further improvement Maintenance therapy: 1mg every three months for life in pernicious anaemia or malabsorption conditions (or every two months if there was neurological involvement) Injections are typically administered by practice nurses at GP surgeries

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Compounded medications are typically cash-pay but can be purchased with HSA/FSA funds

It is important to use accurate dosing devices, obtain medication through legitimate channels, and have a plan for evaluating effectiveness and side effects

That schedule is wrong for a sizable share of patients, and pushing it produces most of the bad experiences