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B12 wellness shots are not a substitute for lab-guided deficiency evaluation when symptoms are ongoing

Among the most frequently reported adverse effects are minor and self-limiting such as local injection site erythema, transient hormonal shifts, and receptor desensitization with prolonged or high-frequency use

I normally treat these issues with T3 thyroid hormone (to bypass thyroid conversion) but it would be highly likely that levothyroxine injections could do a better job by directly injecting small amounts of thyroid hormone into sore muscles

Potential modulation of central pain processing through GABAergic effects

At the 2.5 mg starting dose, a 30 mg vial provides 12 weeks of doses