This synergy allows for a more effective and comprehensive pain management strategy, emphasizing both pain relief with ketamine and functional improvement through physical therapy
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Common Administration Methods Subcutaneous or intramuscular injections near the injury site provide direct delivery to affected areas
Higher-dose oral B12 (e.g., 1000 g daily) is sometimes used but should only be considered under clinical supervision with appropriate monitoring, particularly in cases of malabsorption where intramuscular treatment remains the first-line approach in UK practice
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