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Description

Keywords: nutrition, anemia, subacute combined degeneration, spinal cord, nitrous oxide, cobalamin Introduction Degenerative cervical myelopathy (DCM) encompasses a set of age-related changes of the cervical spine that result in spinal cord impairment through static and dynamic injury mechanisms

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The exact treatment schedule depends on your symptoms and levels Initial (Loading) Phase: 1000 mcg Vitamin B12 injected daily or every other day for 12 weeks Goal: Replenish low B12 stores quickly Intermediate Phase: Continue with weekly injections for 4 to 8 weeks Goal: Stabilize symptoms and B12 levels Maintenance Phase: 1000 mcg every month (every 4 weeks) May continue indefinitely if the root cause is ongoing (e.g., pernicious anemia, GI surgery) For Neurological Symptoms: If youre experiencing numbness, memory issues, or balance problems , your doctor may adjust your dose: Injections twice monthly or more frequently Close follow-up is importantnerve healing can take 3 to 6 months or longer Monitoring Progress: Your provider may monitor: Vitamin B12 levels Full blood count (CBC) to track anaemia Symptoms like energy levels, mental clarity, and nerve health Cant I Just Take a Pill