I don't know what they actually do with it, but I doubt if it's wasted. Cobalt is used in agriculture - mustn't let those cows get deficient - and in the batteries of all those electric cars they're trying to make us buy.
I believe there are new guidelines from NICE regarding B12 now, Read about this a while ago but can’t remember. It was from NICE guidelines though. So let’s hope for a change… but patients will still need to be proactive I think… old habits die hard if at all…
Technically, they do not have to follow guidelines. Every NICE guideline has this:
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
I can easily agree that many doctors feel they cannot depart from the guidelines. And that there might be other restrictions on what they do (e.g. local limits in prescribing).
That actual guidelines actually say they allow this is, nonetheless, important.
Please be wary of the "Doctors must follow guidelines" saying. There are a number of legal cases that reaffirm that guidelines are just that, guidelines.
The person who relies on guidelines must have regard, amongst other things, to the people who wrote the guidelines i.e. their expertise and sponsorship, and the extent that the draft has been sent out for consultation with the people that will be affected by the guidelines.
Even if the guidelines have been written by real experts who are not biased and widely consulted on by users and (in this case) patient groups, the doctor can deviate from the guidelines if s/he has a good reason to do so.
The doctor also has other duties to take into account the wishes and preference of the patient and the the knowledge the patient has of his/her own condition. The doctor has a duty to agree with the patient the therapy that the patients undergoes.
This requires a well informed patient presenting the doctor with alternative therapy that is well researched and agreeing on that alternative therapy. The doctor should make notes of the reasons for diverging from the orthodox guidance and notes of the agreement wit the patient. Good monitoring of the progress of the patient is essential.
Even NICE guidance states that guidelines should not take the place of the doctors skill and expertise. the ye should help the doctor and the patient agree to the patients therapy.
Finally, there is also case law that states that over reliance on guidelines and in effect saying that a doctor must follow guidelines can be negligent practice by the doctor.
I see that Helvella has reproduced the part of NICE guidance that states this.👍
I have heard that BP or associated bodies are trying to control the ‘use’ of vitamins, minerals and substances that are considered non allopathic. If I remember correctly, it is planned for in Canada.
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