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In these cases, your GP should arrange intramuscular hydroxocobalamin injections according to NICE guidelines, with the regimen depending on whether neurological symptoms are present (as detailed in the previous section)

Always consult with a board-certified dermatologist or a qualified healthcare provider before starting any new hair loss treatment or if you experience sudden, unexplained hair shedding.

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Proper cycling with off periods allows natural enzyme function to reset and may support long-term safety