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500g/mL Cyanocobalamin

Tendinopathy develops more gradually from repetitive stress that outpaces the tissues repair capacity

If a provider cant clearly answer those questions

Some insurers require documented trial of oral supplementation before approving injections, though this contradicts the pathophysiology-patients with true intrinsic factor deficiency cannot absorb oral B12 regardless of dose

[DOI] [PubMed] [Google Scholar] 13.Ellouk-Achard S, Levresse V, Martin C, Pham-Huy C, Dutertre-Catella H, Thevenin M et al

Vitamin B12 deficiency results in megaloblastic anemia, GI lesions, and neurologic damage (which begins with an inability to produce myelin and is followed by gradual degeneration of the axon and nerve head)