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Its smart to keep an eye on B12 levels to adjust treatment as needed

These pathways do not directly target central sensitization, neuroinflammation, or pain processing mechanisms implicated in fibromyalgia

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That means starting with a low dose and gradually increasing it over several weeks

Do vitamin B12 injections work immediately

If your prescriber approves you for a B12/MIC prescription, its up to you how long you stick with it