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Available options include: B12 Shots : Intramuscular injections (IM) are the most commonly used treatment because they bypass absorption barriers and deliver the vitamin directly into the bloodstream[21]

Patients should confirm the exact medication, pharmacy, formulation, regulatory status, and provider oversight before beginning any protocol

This will activate the bodys innate immunity with the release of cytokines such as interleukin 1, alpha (IL-1) in the keratinocytes

6.5 Missed Dose Instructions and Treatment Continuity If you miss a dose, give it as soon as you can, but don't wait too long

deductibles, coinsurance, and copays may still apply

Journal of Sexual Medicine, 3(4), 628-638