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When faster or more effective healing is needed, evidence-based medical therapies include platelet-rich plasma (PRP) therapy, corticosteroid injections (with appropriate clinical guidance), approved anti-inflammatory medications, and in some cases, surgical intervention
Patients should never double up on doses or take extra medication to compensate for missed doses, as this increases the risk of adverse effects without providing additional therapeutic benefit
Pregnant or breastfeeding women should consult their physician before use
Purchasing or supplying it outside of this framework is not legally sanctioned and carries significant risks, including exposure to counterfeit or contaminated products
Other studies have found no link between vitamin B12 deficiency and MS