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These letters appear to be indiscriminate cost saving initiatives and are being sent out as individual practice directives and not that of the CCG (Clinical Commissioning Group)

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Approximately 900 adult participants were enrolled across six randomized, double-blind, placebo-controlled clinical trials conducted between 2001 and 2006

These guidelines, while a starting point, are often based on a one-size-fits-all model (e.g., 8 or 12-weekly injections) that does not work for all patients
