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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 surgery’s policy to only give 12 weekly and under no circumstances would she get any more frequent injections despite a formal diagnosis of PA
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Luckily I found B12 advice groups that made me aware of how common these difficulties are
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