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Intramuscular hydroxocobalamin injections are the recommended first-line treatment in the UK, as they bypass the absorption problem caused by lack of intrinsic factor

If you have diabetes, your doctor may recommend taking a vitamin B supplement to support your nerve health alongside other, preventive measures such as careful blood sugar management and healthy lifestyle choices

They carry meaningful safety, regulatory, or long-term unknown risk profiles, and we prefer to work with peptides that have a more defined clinical track record and a physician-supervised pathway

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