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After two treatment sessions, tender point injection therapy reduced the number of pain sites, intensity of pain, and fibromyalgia-related pain and tenderness compared with placebo injections
High levels of B12 are a warning sign: While low serum cobalamin levels do not necessarily imply deficiency, an abnormally high serum cobalamin level forms a warning sign requiring exclusion of a number of serious underlying pathologies
These include: Age and overall health status Severity of Vitamin B12 deficiency Presence of underlying medical conditions, such as gastrointestinal disorders Concurrent medications that may interact with Vitamin B12 For example, older adults or those with severe deficiencies might need more
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