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Dont think it isnt working if you still get a migraine after the first injection

Reasons for exclusion were previous vitamin B12 injections within 12 months before the reference date (26 cases), documented alcohol abuse (16 cases), undergoing chemotherapy or hormonal therapy for a malignancy (9 cases), and no documentation that vitamin B 12 therapy was initiated (7 cases)

Timeline expectations for back pain improvement Understanding realistic timelines prevents discouragement and helps assess whether protocols are working