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If you already have a diagnosed deficiency under NHS care and your symptoms return before your next scheduled dose, that is a conversation to have with your GP, who can review the schedule

[12] However, endoxifen occurs in much higher concentrations than afimoxifene and is now thought to be the major active form of tamoxifen in the body

However, the amount used for chronic migraine is a much lower potency and dose, and when used correctly, can be an amazingly helpful medication

If you plan to stay at 2.5 mg for longer than 4 weeks, consider a 10 mg vial instead to avoid waste

You can give yourself a B12 shot using either IM or SQ delivery