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It is not engineered to hit the NF-kB pathway with the specificity that KPV does

While the cortisone shot may succeed in temporarily getting rid of the inflammation it wont ever get rid of the mechanical cause which means youre more likely to prolong the true problem over time

You can totally take B12 pills instead of injections if your doc gives you the A-OK

The injection site reactions deserve mention too

This step is crucial and helps protect your B12

For instance, patients with inflammatory bowel disease, such as Crohns disease, or those with celiac disease , may have trouble absorbing vitamin B12 due to gut damage