Here’s another letter, this ‘specialist’ appears unaware that parasthesia is a neurological symptom. The patient should actually be having an injection every other day ‘until no further improvement’ according to  BNF guidelines.

Please consider signing and sharing our petition – you will be helping to save lives
http://www.change.org/en-GB/petitions/ian-hudson-please-make-our-life-saving-injectable-vitamin-b12-hydroxocobalamin-available-over-the-counter