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Common approaches include 4 weeks on followed by 2 weeks off, 6 weeks on followed by 4 weeks off, or running continuously until the injury resolves and then stopping

Davies MJ, et al

Signs of a B12 deficiency include: pain tingling difficulty walking uncontrollable muscle movements confusion, forgetfulness, or memory loss changes in mental state or mood changes in smell or taste vision problems diarrhea weight loss glossitis, aka a painful, smooth, and red tongue If you have any of the above symptoms, talk with a doc

15,16 In patients with clinical symptoms of vitamin B 12 deficiency and low levels of serum vitamin B 12 , no further confirmatory testing is generally needed before treatment is initiated