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Since 1 June 2025 that authorisation should follow a face-to-face assessment
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Common signs include: Persistent fatigue and weakness Pale or slightly jaundiced skin Shortness of breath and dizziness Tingling or numbness in the hands and feet Mouth ulcers or a sore, red tongue (glossitis) Cognitive difficulties, including memory problems or low mood Hair thinning or increased hair shedding (a possible, non-specific manifestation not a hallmark symptom) In the UK, certain groups are at higher risk and should be particularly vigilant
While some patients receive these shots at a clinic, many are advised by their healthcare providers to self-inject at home for convenience and consistency
