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Heres my article and video where I do my best to help you answer the question of: When Is It Time To Consider Surgery? Although you may not find that as helpful IF you already know you have a significant tear at this point
There are also no validated dosing guidelines for DSIP, which compounds the risk: an unvalidated dose paired with a product of unverified identity is a poor foundation for any clinical decision
Vitamin B12 injections are often recommended for individuals who: Follow a vegetarian or vegan diet Have a diagnosed absorption issue such as pernicious anaemia Have had gastric surgery or digestive disorders like Crohns or coeliac disease Take medications that interfere with B12 absorption, such as metformin or proton pump inhibitors Are over the age of 50 and produce less stomach acid Regularly experience fatigue, brain fog or low mood without explanation Even if you havent been formally diagnosed with a deficiency, many people find B12 injections help restore their energy and mental clarity when theyre feeling run down
There is no single best route, only the one that fits your goals, your schedule, and how your body responds, which is a conversation to have with your provider rather than a decision to make from a webpage
