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This medication should be prescribed and monitored by a licensed healthcare professional familiar with the condition being addressed and the specific applications of the medication

46,47 More research is needed to determine the effectiveness, safety, and cost-effectiveness of interspinous spacer devices and minimally invasive lumbar decompression

Patients with low-normal or borderline B12 (200400 pg/mL) may experience quicker symptom relief and fewer adverse effects than those with truly deficient levels, who may require supplemental or prescription-grade B12 dosing instead

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