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Understanding the difference between SubQ and IM injections can help you feel more confident when discussing treatment options with your provider

But if fatigue comes with dehydration, stress, or poor recovery, an IV drip provides a broader solution

If that happens to be your issue, taking your B vitamins or B12 in the form of injection, might resolve the issue

In order to know how best to treat your individual back problem, your physical therapist will assess your back and will determine how well your back is moving as well as determine if you have any muscular imbalances affecting your back

Higher dosing or longer cycles use more compounded medication

Not sure it would occur that fast, but they seemed to brush it off so I doubt it would prevent you from getting a second dose, assuming you have educated medical personnel administering the dose and that you did not have anaphylaxis with the first dose