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Your treatment protocol typically includes: Initial 7-day intensive IM B12 injections, followed by weekly doses for one month Regular monitoring of serum B12, methylmalonic acid, and homocysteine levels Shift to maintenance therapy with monthly injections for ideal long-term prognosis Youll require ongoing clinical assessment to evaluate neurological recovery and adjust dosing regimens accordingly

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Asian Spine J 7:322 Teraguchi M, Yoshimura N, Hashizume H et al (2016) Metabolic syndrome components are associated with intervertebral disc degeneration: the Wakayama Spine Study

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