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NICE and BNF Guidance: You correctly point out that even official guidance from NICE and the BNF acknowledges that some individuals may require more frequent injections
TRT Nation providers monitor patient progress throughout and adjust dosing as needed
If degradation is suspected, your pharmacy may recommend a replacement batch to ensure you continue receiving full therapeutic benefit
To restore vitamin B12 levels and also fight vitamin b12 deficiency, administer half of the above doses and repeat at 12-week intervals, if necessary
We track pain, function, and imaging at regular follow-ups
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