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Sitting in one of the two patient chairs beside the exam table, I watched her look at my chart with a familiar sigh

19: 9006 Spielberg S, Leeder J, Cribb A, et al

Without medical supervision, adverse effects may go unrecognised or unmanaged

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Dermatologist-applied laser resurfacing of the top-most layer of skin is both known to produce rejuvenation (aka younger-looking skin) and can be protective against many skin cancers

In summary, the reasons a GP surgery may refuse an early B12 injection are often rooted in a strict interpretation of established, but imperfect, guidelines, a misunderstanding of the actual science of B12 storage and metabolism, and a desire to maintain administrative consistency