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These include: Large disc extrusions or sequestered fragments requiring surgical intervention Severe spinal stenosis with significant canal narrowing Bone spurs (osteophytes) compressing nerve structures Advanced degenerative disc disease with complete disc height loss Spondylolisthesis (vertebral slippage) beyond grade 1 Cauda equina syndrome (medical emergency requiring immediate surgery) Users with these conditions typically report minimal improvement from peptide therapy alone
It is also sometimes prescribed to help with certain types of anemia caused by poor absorption of vitamin B12. This particular formulation comes in 1 mL vials that contain 1000mcg of cyanocobalamin, which can be used for multiple doses
Patients should consult their doctor if they experience allergic reactions or unusual symptoms
2018;3:CD004655
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