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We can provide treatment on our service for those who have one or more of the symptoms above and at least one of the following risk factors, following a consultation with one of our Pharmacists: Follows a vegan diet Pernicious anaemia Folate deficiency Intrinsic factor receptor deficiency, congenital intrinsic factor deficiency, cobalamin mutation or transcobalamin deficiency Another condition that affects how the body absorbs vitamins and nutrients such as Crohn's disease or Irritable Bowel Syndrome If you have similar symptoms to those above but without any risk factors, you will need to test for Vitamin B12 deficiency before any treatment can be offered

Morning and night, every day, for at least 8-12 weeks before judging effectiveness

A new personalized formula, compounded tirzepatide with vitamin B12, is now available for those who experience side effects while taking tirzepatide

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HSV increases the risk of acquiring and transmitting HIV