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Fatigue or Dizziness Some individuals report temporary fatigue, lightheadedness, or low energy early during treatment

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Surgery is generally reserved for cases with progressive neurological deficits, cauda equina syndrome (a surgical emergency), or persistent symptoms despite 6 to 12 months of conservative treatment

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Intramuscular B12 injections bypass the digestive tract entirely, ensuring full bioavailability where oral supplementation may be insufficient or ineffective