For patients seeking weight loss who request B12 injections, GPs should: Assess for genuine deficiency through appropriate blood tests rather than empirical treatment Provide education about the lack of evidence supporting B12 for weight loss in non-deficient individuals Explore underlying concerns about weight and energy levels, addressing these through appropriate channels Signpost to evidence-based resources such as NHS weight management services according to local pathways Patients should contact their GP if they experience unexplained fatigue, neurological symptoms (numbness, tingling, balance problems), or signs of anaemia (pallor, breathlessness, palpitations), as these may indicate B12 deficiency requiring investigation
Your haematologist will advise on how long you need to keep taking the injections
Paclitaxel plus Bevacizumab versus paclitaxel alone for metastatic breast cancer
TIER 1 | 46mg total | $295 total cost , based on a titration from 0.5-1mg/day TIER 2 | 90mg total | $395 total cost , at 1.5mg/day TIER 3 | 120mg total | $495 total cost , at 2mg/day TIER 4 | 150mg total | $595 total cost , at 2.5mg/day Empower Pharmacy - Tirzepatide ODT (Orally Disintegrating Tablets) Up to 180 days BUD, all tiers include a 60 day supply