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The standard NHS schedule For a confirmed deficiency, the NHS treatment pathway sets out: Loading phase: 1mg of hydroxocobalamin on alternate days for up to two weeks (longer if there are neurological symptoms), to refill your stores

Face serums and creams: Clinical standard: 1-3% concentration Maximum typically used: 4% concentration Application: Once or twice daily Duration: Minimum 8-12 weeks for visible results Eye area products: Concentration: 1-2% (lower for sensitive periorbital skin) Application: Once daily, typically evening Amount: Pea-sized for both eyes Scalp solutions for hair: Concentration: 0.5% solution common Application: 1-2ml to affected areas once or twice daily Duration: 3-6 months minimum for meaningful changes Higher concentrations do not always mean better results with topicals

N-Acetylcysteine is an efficient antioxidant with good ROS, RNS, and thiyl radical scavenging activity and the detoxification of semiquinones, heavy metals, hypochlorous acid (HOCl), and other oxidants

Biomedicines 10 , 442 (2022)