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Patients would still need a prescription for the medications, but its possible that telehealth platformswhich are already a common source of unapproved peptidesmay make access easier

The British National Formulary (BNF) states: For people with neurological involvement Initially administer hydroxocobalamin 1 mg intramuscularly on alternate days until there is no further improvement, then administer hydroxocobalamin 1 mg intramuscularly every 2 months

Packages are available for 1, 2, or 3 month cycles

Globally, injection-based therapies face barriers: needle phobia, cold chain requirements, training, cost, stigma

While human clinical trials have not yet been completed, the existing data provides valuable insight into how the compound works and what effects it produces