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These work best when started within 1224 hours of symptom onset

Cyanocobalamin is the form most commonly used in supplements because it is highly stable and has been extensively studied

Opioid-Sparing Pain Relief: Proven to reduce or replace opioid use in acute and moderate-to-severe pain situations, lowering the risk of opioid-related side effects

According to the Beers Criteria, systemic ketorolac is a potentially inappropriate medication (PIM) in geriatric patients and avoidance is recommended in those with or without a history of gastrointestinal (GI) ulcers due to an increased risk of gastrointestinal bleeding, peptic ulcer disease, and acute kidney injury in older adults