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126 In a randomized controlled trial, 40 patients with tinnitus (17 of whom also had vitamin B12 deficiency with levels below 250 pg/mL) were treated with weekly intramuscular injections providing 2,500 mcg vitamin B12 or saline (placebo) for six weeks

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Tunneling with biologics Fibrotic matrix disruption and biologic activation The tunneling technique is an advanced intralesional method designed to optimize the distribution of bioactive agents throughout the dense fibrotic matrix [9]