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When patients develop severe nerve damage, such as peripheral neuropathy or a serious spinal cord condition called subacute combined degeneration, swallowing over-the-counter vitamin pills is often not enough

Mechanistically, intra-articular AOD-9604 may stimulate synovial fibroblast proliferation or reduce inflammatory cytokine production in the synovial microenvironment, though direct effects on cartilage are unclear

Benefits of Supplemental Therapies Supplemental therapies in the form of injections (both B12 and homeopathic) offer a stronger treatment for those experiencing acute issues

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