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Some patients, particularly those with neurological involvement, may benefit from more frequent dosing (every 2 months rather than 3 months), but this should be medically supervised rather than self-adjusted

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Foods rich in vitamin B12 also contain high levels of histamine, which can trigger a reaction

These cases may be treated with brisement, in which the affected tendon is injected with a small amount of fluid, either sterile saline or lidocaine to break up scar tissue (adhesions) in the tendon

This summer, those rules are getting a closer look