An oral treatment can produce substantial savings by removing

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pandora bracelets General practitioners can be confident that this alternative treatment is both safe and effective in the long term ongoing monitoring of our patients has substantiated that belief.An oral treatment can produce substantial savings by removing the necessity for nurse involvement either at home or at the surgery for injection therapy.14Patients much prefer oral medication and given the opportunity to choose between an injection and a tablet of vitamin B12, clearly demonstrated this preference. Vitamin B12 replacement therapy is ideally suited to a standard monitoring protocol and this should become a regular part of our care.Patients with the very rare condition of tobacco amblyopia should remain on hydroxocobalamin as there is a theoretical possibility of cyanocobalamin (rather than hydroxocobalamin) increasing the risks of this condition.15There is now an oral alternative4 to a parenteral treatment and oral vitamin B12 is now a therapy option. The study confirms oral vitamin B12 is effective and acceptable as maintenance therapy in UK general practice for which we advocate its use. pandora bracelets

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