Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant
If you do tear or cut the patch, dont use it
use plain sterile water for immediate single-use applications Bulk Purchasing: Order 25-packs or cases for facilities with routine bacteriostatic water requirements to reduce per-unit cost Preservative Sensitivity: Confirm the patient has no benzyl alcohol allergy before using medications reconstituted with bacteriostatic water Route of Administration: Verify the drug's approved administration routes
It seems likely that practices will need to switch to branded medications like Wegovy by April 22, 2025, for 503A, and May 22, 2025, for 503B, pending court decisions
The drugs also show promise for treating liver disease and Alzheimers disease