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PubMed 18

Therapeutic Uses of Prolotherapy (Dextrose Prolotherapy) Prolotherapy (dextrose prolotherapy) has demonstrated efficacy in a broad range of chronic musculoskeletal conditions in which dysfunction of ligaments or tendons plays a central role in pain and instability [45]

Injections offer superior bioavailability compared to oral supplements, as they bypass the digestive system and deliver B12 directly into the bloodstream to fuel your body

Conclusions : There is a consensus that clinical symptoms need to receive more attention in establishing the diagnosis of B12 deficiency

As we age, stomach acid production can decline (atrophic gastritis), which makes it harder to extract B12 from food or pills