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The four subcutaneous areas that work best are the lower abdomen (away from the navel), the outer thigh, the back of the upper arm, and the flank or love-handle area

Vitamin B 12 is also available in the form of pills that dissolve under the tongue, and as a nasal spray and nasal gel

The practical evidence remains limited

Epidurals and nerve blocks involve a doctor injecting anti-inflammatory steroids, anesthetic, or both into the spine to reduce inflammation and pain

The cornerstone of therapy has traditionally been through vitamin B12 replacement, which helps restore red blood cell production and improve neurological function