There is a standard text included in NICE guidelines which on the one hand allows departure from them on good grounds, but on the other hand expects both doctors and patients to be supported in choosing to follow them: Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available
Whilst many GPs will not treat patients according to individual need (or feel their hands are tied), then it is essential to allow patients the ability to look after themselves
The standard UK regimen involves hydroxocobalamin 1mg intramuscularly on alternate days until no further improvement occurs , typically requiring 1020 injections
Vitamin B12 levels can be checked with a blood test and repleted with supplementation
If you take it in small doses, there are no side effects linked to sterile water
Untreated, athletic pubalgia can also lead to chronic pain