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I would respectfully ask if the B12 test could be repeated, I have learned here that B12 supplementing can alter folate levels so I wonder if your folate level being considerably above the high end of the range has masked your B12 deficiency and affected your B12 levels

The tradeoff is reduced bioavailability compared to injection, but proper application technique can partially compensate

The effect on truly "stubborn" subcutaneous fat (which is resistant due to higher alpha-2 adrenergic receptor density) is unclear

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However, there are a few rare cases where this treatment is not recommended

Immobilization aids like slings or walking boots might be necessary to minimize movement while safeguarding the treated joint