Magnesium and B12 Injections - what to do if your GP refuses to give
From DoctorMyhill
This is a real bore. Magnesium and B12 injections are so helpful that it is pointless progressing onto other things without trying these first. Therefore a way must be found to get this done. Some GPs are unwilling to prescribe the magnesium and B12 but prepared to inject them. In this event I can supply the magnesium and B12 and the GP's practice nurse should be able to inject (but you need to be a patient of mine first!).
The next possibility is that the GP refuses to have anything to do with magnesium and B12 injections. In this event either you need to find a local nurse, physio, health visitor or mid-wife or whoever who can do the injections for you. I am very happy to write a covering letter so that I take clinical responsibility, send that person instructions as to how to inject B12 and magnesium and I can supply the wherewithal.
The third possibility is that I teach you to inject yourself. This has great advantages because the timing of the magnesium and B12 depends on your clinical symptoms. Some people know exactly how long the injections last and if they are going through a good phase they last longer, shorter with a bad phase. Sometimes more benefit is got from the B12 than magnesium or vice-versa and the injections can be adjusted accordingly. However, you really need to come and see me so that I can teach you to inject yourself, or alternatively be taught by a competent local practitioner such as a doctor or nurse. Many of my patients do end up injecting themselves simply because this saves the effort of travelling down to their GP's surgery on a regular basis and the risk of picking up nasty infections in the waiting room.
The fourth possibility is to try magnesium by nebuliser. This I have been trying for several years now with reasonably good results in some patients - Magnesium by nebuliser.
I now have a preparation of B12 which delivers 5,000mcgms (ie ten times the dose in a ½ml injection) as a sublingual spray, but even with perfect B12 absorption one can only expect 1% to actually get through the gut wall!. The idea of the sublingual spray is that some is absorbed under the tongue. It works well for some people, but many CFSs tell me that the injections are irreplaceable! It costs approx £22 for 60 doses (nearly 3 months supply). If you e-mail our dispensers, they can confirm the exact cost and send you the spray.
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