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Comparative studies between intramuscular and subcutaneous administration are lacking.21 In some countries, nasal or sublingual B 12 preparations are available

Did you consider taking anything prophylactically to try to mitigate any of your concerned side effects

13,168 Diagnosis involves a comprehensive clinical evaluation, including detailed neurological examination, electrophysiological studies like NCS and electromyography (EMG) to assess motor and sensory fiber function and localize lesions, as well as imaging studies such as magnetic resonance imaging (MRI) to exclude compressive or structural causes

Ive heard some doctors are doing the same with Hypothyroidism.....taking them off their life long needed medication & telling them they wont treat unless the blood tests indicate a need