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74,75 Other causes of central vertigo include 1 : Cerebrovascular disease, including transient ischemic attack, stroke, or hemorrhage, affecting the medulla or cerebellum Multiple sclerosis Seizure disorder Genetic conditions Disembarkment syndrome (a sense of motion and imbalance following a period of being in passive motion) 5 Conditions Associated With Vertigo and Dizziness Vertigo and dizziness are associated with several systemic disorders

Additionally, because injections bypass the digestive system, they are not subject to the exact breakdown and loss of potency that can occur during digestion

The same paper is refreshingly candid about the gaps: key questions like ideal treatment duration, how long any effect lasts, and maintenance dosing were still unanswered as of publication

Others discuss a short series or maintenance plan with a clinician when there is a defined goal, documented deficiency, or a specific protocol