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The quickest and most efficient way to boost vitamin b12 levels is through an intramuscular Vitamin B12 Shot to treat or prevent deficiency

doi:10.31083/j.rcm.2021.01.256 Poredo P

Subcutaneous (SC) or intramuscular (IM) injections at lower doses (tens to low hundreds of milligrams) are emerging as practical alternatives for maintenance therapy and wellness applications [3] [11]

Surgery may be considered if the aforementioned forms of treatment have been unsuccessful or in cases where the pressure placed on the spinal column results in severe muscle weakness that affects the patients ability to lead a normal life, such as being incapable of walking or in cases of nerve deterioration

Combined with tetracycline antibiotics, it can reduce their absorption rate by 30% to 40%

First treatment has partially diminished the sharp pain while in full extension