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After the joint injections A December 2018 study ( 4 ) examined the negative impact of and side effects of steroid injections into the spine and joints

It also states this applies to ads for all vitamin shot products, not just vitamin D or vitamin B12

No effects on blood sugar, insulin levels, or IGF-1 were observed
Off-period (weeks 12+) : 4 to 6 weeks off lets baseline NNMT activity reset before the next cycle

10.1111/j.1398-9995.2007.01389.x [DOI] [PubMed] [Google Scholar] Carmel R
