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Despite pointing out the BNF and NICE guideline recommendation that more frequent injections are necessary if symptoms persist and that patients with neurological symptoms should be on a maintenance dose of every 8 weeks, this doctors practice told her that it is their surgerys policy to only give 12 weekly and under no circumstances would she get any more frequent injections despite a formal diagnosis of PA

Vitamin B 12 deficiency dysregulates M6A MRNA methylation of genes involved in neurological functions

This method is often used for patients who need injections often or have less muscle mass

Learn more about how you can support your brain's ability to clear waste products in this episode