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First, if you have proven deficiency under NHS care and want a private top-up injection between NHS doses because your symptoms return early, we will do that on agreed protocol after seeing your blood results

Send a short message describing your symptoms, location of pain (dermatome), and prior treatments Youll receive a reply within 24 hours with info on whether and how we can help, including consultation cost and scheduling Only then, you can send medical documentation (reports, prior imaging/labs) The video visit is followed by a written plan and free follow-up questions for 10 days Secure payment by credit card, PayPal invoice (USD), or bank transfer

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Weight loss injections like Mounjaro or Wegovy may also be used after surgery to maintain progress or restart weight loss if it slows down