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Private clinics offering B12 injections for wellness purposes operate outside NHS prescribing guidelines, and patients should exercise caution regarding unsubstantiated health claims

Other abnormalities include altered endogenous brain opioid activity and dysregulation of dopamine

Long COVID, studied widely in recent years, also shares common features with these conditions, and this further complicates the landscape, as studies indicate that 2031% of Long COVID patients also meet FM diagnostic criteria 6 months post-infection (Fernndez-de-Las-Peas et al., 2022

Both are safe forms of long-acting reversible contraception