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Other Risk Factors: Additional factors that can contribute to B12 deficiency include alcohol abuse, certain medications (e.g., metformin, proton pump inhibitors), and underlying health conditions affecting absorption
Knowsstuff October 18, 2019, 4:53pm 2 It appears from what you linked that she has till December 1stBut

The fix: daily KLOW + a full-length TB-4 bolus at 24 mg, 23 weekly , injected near the injury site

Most people start noticing improvements within a few weeks to a few months after beginning treatment
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Prescription pathway: Once your GP has established the need for ongoing B12 therapy, they can issue a repeat prescription for home use