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A reasonable candidate is someone who: Is already following a structured, clinician-supervised nutrition and activity plan Has a documented B12 deficiency or a condition that impairs B12 absorption Cannot tolerate GLP-1 medications, or is not a candidate for them Declines prescription pharmacotherapy and wants a non-stimulant, non-surgical adjunct Understands because the clinician has said so plainly that the injection is a supporting player A poor candidate is someone who wants the shot instead of the program

We will meet with you to discuss your treatment goals so that we can tailor your injection schedule accordingly in order to meet your needs

Tamalavage, A

In this way, the visceral nociceptive signals return to the dorsal horn of the spinal cord (e.g., at L1 or L2 level) and terminate on second-order neurons that send signals reaching the brain, where the pain is processed