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Tender point sensitivity may also begin to improve during this period, with some patients noting they can tolerate light touch or pressure that previously caused significant discomfort
To achieve this, the administration of hydroxycobalamin (OHCbl) is the mainstay of therapy [2] with the parenteral route being strongly recommended [5,6,7,8]
B12 Shots Vs Pills If you take oral vitamin B12 supplements, some of what you swallow is lost during digestion
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Adjust if using a 10 mg vial or different concentration
However, this approach is not routine first-line treatment in UK practice, is considered off-label, and requires good patient adherence and clinical follow-up
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