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It says this specifically in the NHS constitution

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This treatment is commonly considered for men who: Experience persistent fatigue or low energy Have difficulty absorbing B12 from oral supplements Want support for nerve and metabolic function Are seeking clinician-guided nutrient optimization Men receiving care at our Manhattan, NY - Upper East Side location undergo a personalized evaluation to ensure Vitamin B12 injections align with their individual wellness goals

Some clinicians report patients using it for extended periods without obvious problems