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This finding aligns with current AAFP clinical guidance recommending oral therapy as a first-line option for most patients

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This aggressive approach aims to prevent irreversible neurological damage, as demyelination can become permanent if treatment is delayed

Smoking Alcohol abuse Having endocrine-related autoimmune disorders (such as diabetes, or thyroid disorder) Gastrointestinal disorders such as Crohns disease Having undergone gastric bypass surgery or other surgeries that remove parts of the stomach

These injections begin to improve energy levels and reduce fatigue symptoms after their administration within 24-48 hours