Thank you both and good to have that Hemel surgery contact - presume private so will be willing to do it for cash? Have now phoned my surgery (which is in Richmond) 5 times. Every time I explain the problem and ask to speak to a GP they say a GP or nurse will call me back but they never do. They’ve now asked me to call back on Tuesday. Like you, Hanz, am due injection this week and exhausted and very down. Since last writing I checked the Pernicious Anaemia Association website and they suggest a number of possible stopgap solutions. As I can’t ingest B12 at all I have bought a spray that delivers the same B12 injection stuff but through cheek tissue, which is supposed to absorb it into the bloodstream. I might be kidding myself but did the recommended 4 sprays yesterday, didn’t fall asleep during the day, slept well last night and and feel much brighter this morning. However I will press the surgery for an injection or at least some advice. I got the spray (Better You Boost) from Holland and Barratt and they also had sub-lingual lozenges in stock, also listed by the PAS as a way to get B12 into bloodstream (worth joining if you haven’t as they have useful info and a dedicated members’ helpline). Will report back how I get on. Must say whole situation highlights how little-understood PA is and am shocked that surgeries don’t have any protocol for dealing with it.