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Your doctor may: Monitor serum B12 levels Evaluate homocysteine and methylmalonic acid (MMA) Check complete blood count (CBC) Assess for symptom improvement (fatigue, cognitive clarity, neuropathy) Symptoms like improved energy, mood, and focus typically appear within days to weeks

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For weight management concerns, patients should request referral to NHS tiered weight management services, which provide evidence-based, multidisciplinary support

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CPT 64483 is a transforaminal epidural injection targeting the epidural space

Weekly Dosing Schedule for the First Month After the first week, a weekly dosing schedule is used for the next month