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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022

While steroid injection for SI joint pain is a mainstay, its a not a great treatment for long-term relief when compared to simple treatments like PRP and prolo that focus on ramping up the bodys natural ability to heal versus suppressing it

Storage: Store at 20 to 25C (68 to 77F)

Even changing the oral supplement to a sublingual tablet or lozenge has not been found to drastically change absorption rates (20, 21)

I would recommend synergy to anyone Shiela S