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Usually, a treatment plan means getting shots often to quickly boost B12 levels

If there is no response, tylosin or metronidazole most often in combination with steroids should be used

However, as with any treatment, there can be side effects, including: - Injection site reactions - Temporary nausea or digestive discomfort It's essential to monitor your response and keep an open line of communication with your healthcare provider throughout the process

The company recommend taking 1 capsule one to two times daily with a meal

Additional exclusion factors included uncontrolled diabetes, active genitourinary skin infection, a history of recurrent or active urinary tract infection, non-compliance with pre- or post-operative instructions, and smoking habits that could not be ceased 2 weeks pre- and at least 6 weeks post-surgery as required