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Clinical research has primarily employed intravenous infusions at high doses, though subcutaneous administration at lower doses is emerging as a practical maintenance route [2] [3]

[1] Normal serum B12 levels vary between laboratories, so it's important to use your local laboratory's reference intervals

Topical NSAIDs (e.g., ibuprofen gel or diclofenac gel) offer another option for localised musculoskeletal pain, providing effective relief with minimal systemic absorption and reduced gastrointestinal risk

PMID 18245139

Side Effects: Common Side Effects: Mild nausea, stomach upset, and flushing