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Now we know that the British National Formulary (BNF), that little booklet that is produced twice a year by the Royal Pharmaceutical Society and the Royal Society of Medicine which acts as a reference for doctors to consult in order to treat patients correctly, used to recommend a 1mg injection of Hydroxocobalamin every month when the injection was introduced at the start of the 1960s

State-level policies can influence how suppliers enforce access requirements

Patients with dysautonomia and Long COVID frequently suffer from gastrointestinal issues, such as gastroparesis, low stomach acid, or autoimmune gastritis, which severely impair nutrient absorption

Additionally, the absorption rate of subcutaneous injection is slower compared to intramuscular and intravenous