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Patients considering B12 injections should consult their GP for proper assessment and, if indicated, receive treatment through NHS services where safety standards and clinical governance are maintained

Do not double the dose to make up for the missed one

It is important to highlight that CSF2 and CXCL10 encode pro-inflammatory proteins linked to neurodegenerative diseases 51,52,53 , and, as mentioned above, elevated levels of CXCL10 protein are associated with persistent VCD in individuals from the same cohort of the present study 20