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Proper cycling with off periods allows natural enzyme function to reset and may support long-term safety

Administer under the guidance of a veterinarian

Electrotherapy (TENS) Bells palsy pain can be treated with a TENS unit

Can a Vitamin Deficiency Cause Sciatic Nerve Pain

Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey