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NHS Guidance on B12 and Lipotropic Treatments The NHS provides clear, evidence-based guidance on vitamin B12 supplementation, but lipotropic combination injections fall outside standard formulary recommendations and are not routinely available through NHS services

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If trigger point injections are performed more than three sessions in a three month period, the reason for repeated performance and the substances injected should be evident in the medical record and available to the Contractor upon request

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