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Sacroiliac joint (SIJ) pain is a common source of lumbosacral back pain that we can diagnose and treat with 2 types of fluoroscopically guided procedures: Sacroiliac joint steroid injections or Blocks of nerves to the SIJ with local anesthetic (for diagnosis) twice to determine if blocking long term with Radiofrequency Ablation/RFA (for treatment) is recommended

Some patients respond well to oral supplements, while others need regular B12 injections

Further, in response to commenters' suggestions that we complete actions quickly or timely and provide detailed responses to ACOs, we note that there are interactions between our investigation into the issues potentially impacting ACO financial calculations that may warrant reopening, and the extent to which we can provide additional information to ACOs to explain the status of our investigation and findings, and relatedly the timeline for communicating our decision or related information to the ACO that submitted the request

Munib helps you determine whether B12 therapy aligns with your health goals during your consultation