NICE and British National Formulary (BNF) guidance recommend 1 mg hydroxocobalamin on alternate days until no further improvement in symptoms is observed
If symptoms persist consult your doctor When can I see results
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54 More support for this connection comes from a clinical trial in which 69 menopausal women, 32 of whom had fibromyalgia, experienced improvements in sleep, quality of life, and fibromyalgia symptoms after 12 weeks of hormone therapy using bioidentical transdermal estrogen and oral progesterone
No injections, no refrigeration
He emphasizes hydration, balanced meals, and gradual lifestyle improvements that complement the injections effects