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Treatment courses often extend for at least three to six months before meaningful cosmetic changes might be appreciated, and continued application may be required to maintain any gains

This allows the body time to respond to the injection and ensures any mild side effects have settled before travelling

Choline supports healthy brain development and aids in fat breakdown [7] , while B12 complements these functions by increasing the body's metabolic rate [3]

It would remain the responsibility of Primary Care to diagnose and treat B12 deficient patients but they would have to choose to