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Trigger point injections with the vitamin are particularly suitable for those who need frequent treatments and wish to avoid the side effects of long-term steroid use

Others improve mitochondrial efficiency, growth hormone signaling, or body composition

In contrast, cyanocobalamin is an inactive, synthetic, slightly-toxic form of B12 that the body must convert

Monitoring Protocol: Although the trials showed no concerning laboratory changes, prudent clinical practice suggests baseline and periodic monitoring of metabolic parameters, complete blood counts, liver function, and kidney function

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