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The main ingredient is Hydroxocobalamin (Vitamin B-12), with 5 mg per 2ml ampule

This compounded preparation is available exclusively through our 503A compounding pharmacy pursuant to a patient-specific prescription and is tailored for individual patients based on their specific needs as determined by the prescribing physician

You may know that each GP Practice is governed by a CCG and each CCG has a Medicines Optimisation Department the role of this department is to make sure that the right patients get the right choice of medicine at the right time

Evidence suggests that the effect may be greatest for semaglutide once weekly, followed by dulaglutide and liraglutide, closely followed by exenatide once weekly, and then exenatide twice daily and lixisenatide

If you want oversight thats specifically built around female physiology and hormonal context, thats the distinguishing reason to land here rather than with a generalist provider