American Academy of Dermatology meeting, February 2002

Intensive healing protocol Dose : 500mcg twice daily Frequency : Morning and evening Duration : 4-6 weeks 5mg vial supply : 5 days per vial (10 doses at 500mcg) Need 6-8 vials for complete protocol Total cost: $150-320 Best for : Serious injuries Chronic issues Athletic recovery Stubborn problems not responding to lower dose Conservative protocol (budget or testing tolerance) Dose : 250mcg once daily Frequency : Evening before bed Duration : 6-8 weeks 5mg vial supply : 20 days per vial Need 2-3 vials for complete protocol Total cost: $50-120 Best for : Budget-conscious users Testing tolerance Mild issues Gut healing focus Intensive short-term protocol Dose : 500mcg three times daily Frequency : Morning, afternoon, evening Duration : 2-4 weeks 5mg vial supply : 3.3 days per vial Need 4-8 vials for complete protocol Total cost: $100-320 Best for : Acute injuries Competition prep Rapid healing needed Can handle frequent injections How long does a 5mg vial last

Some patients with joint pain also have surrounding soft-tissue irritation, and that periarticular tissue may respond
We perform a physical exam and, if needed, imaging to confirm the diagnosis and identify contributing factors (biomechanics, inflammation, hormones, or prior injuries)
Patients taking metformin, a common treatment for type 2 diabetes, may need to supplement with higher doses of vitamin B-12 due to the potential reduction in its absorption
Philp, D., Badamchian, M., Scheremeta, B., Nguyen, M., Goldstein, A