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For patients who want to avoid surgery, or where surgery carries a higher risk due to age or comorbidities, pain can often be successfully controlled with an optimized combination of medications and outpatient interventional procedures (targeted nerve blocks, minimally invasive treatments that reduce nerve irritation)

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The service also permits regular administration of the injection to adults aged 18 and above who have a confirmed diagnosis of a permanent cause of vitamin B12 deficiency from their GP

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