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Conservative protocols involving cycling address this uncertainty by limiting continuous exposure

Some use 5-days-on, 2-days-off protocols within cycles

Starting conservatively and adjusting based on response optimizes outcomes while minimizing any potential issues

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Dr Emma Guymer, a rheumatologist at Monash Health, told Rheumatology Republic there had not been any large, randomised placebo-controlled trials looking at B12 supplementation in patients with fibromyalgia with or without B12 deficiency

Bismah Irfan, MD, sees the same handful of reconstitution errors repeatedly in her IVitality MD practice