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Conservative treatments include medications (e.g., steroids, vitamin B12, non-steroidal anti-inflammatory drugs [NSAID], and gabapentin), splint, and physiotherapy 4

Billing teams frequently over-apply modifier 25 to planned injection visits, which generates CO-97 bundling denials

Less Common Side Effects Although rare, some individuals may experience: Dizziness Nausea Increased appetite Flu-like symptoms Anyone experiencing persistent or severe symptoms should stop use and seek medical advice

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Most users notice a softer texture and improved hydration within 1 to 2 weeks

Therefore, in the context of inflammatory syndromes, despite high vitamin B12 blood levels, there is a vitamin B12 deficiency in target tissues, potentially leading to hyperhomocysteinemia and increased cardiovascular risk [69]