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Rather than serving as a first-line treatment, it is typically considered an adjunctive therapy that may complement more established approaches, such as physical therapy, exercise modification, and other evidence-based interventions

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For severe deficiency, clinicians typically prescribe loading doses daily or every other day for one to two weeks followed by monthly maintenance injections

10.1093/brain/aws262 256 SkripuletzT.LindnerM.KotsiariA.GardeN.FokuhlJ.LinsmeierF.et al

No detectable levels of heavy metals including arsenic, cadmium, cobalt, lead, nickel, mercury and vanadium

To ensure accurate reporting, it is vital to refrain from using specific diagnosis codes unless fully supported by the patient's comprehensive medical record