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You must meet specific eligibility criteria including a diagnosis confirmed by X-ray, at least 3 months of failed conservative therapy, and documented trial of or contraindication to steroid injections

This is, unfortunately, a common occurrence as we age Vegan or vegetarian diet as most B12 foods are from animal sources Excessive alcohol consumption Toxic metal exposure Some Auto-immune conditions Certain genetic polymorphism Some medications like antacids, anti-histamines, and some blood-sugar-lowering drugs

Since measuring B12 in the blood serum is highly unreliable, homocysteine levels are often also calculated in tests in order to better interpret results

Baz R, Alemany C, Green R, Hussein MA

Every claim gets measured against published research, every user report gets context, and every provider gets evaluated on the merits rather than the marketing