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Some patients have had letters stating the GPs are following advice from Public Health England, NHS England, CCGs, etc and some even say advice from Europe

Monitoring and Medical Supervision: While AOD-9604 has a favorable safety profile, medical supervision is recommended, particularly for individuals with pre-existing health conditions

While very high oral doses (1,000 to 2,000 mcg) can achieve some passive absorption without intrinsic factor roughly 1% of the dose is absorbed passively many clinicians prefer the reliability and rapid correction offered by injections in this population