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Individuals with certain allergies, liver conditions, or kidney disease, or those who are pregnant or nursing, should consult a physician before starting any injection protocol

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In Regland et al.s study, all patients had normal serum levels of vitamin B12 and homocysteine, however, levels of B12 in CSF correlated significantly with fatigue and items of a psychopathological scale [16]

10.1016/j.stemcr.2019.05.008 122 NeuhausW.FreidlM.SzkokanP.BergerM.WirthM.WinklerJ.et al

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5) Monitor labs and symptoms and adjust every 6 to 12 weeks