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Rotator Cuff Tear A 45-year-old male with a partial rotator cuff tear avoided surgery and experienced full resolution of pain and restoration of mobility within 8 weeks using the high-dose protocol (1mg daily), combined with physical therapy and zone 2 cardio

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The panel agreed that initial treatment should be parenteral for severe cases, while high-dose oral B12 can be considered for maintenance

For optimal results within a research setting, please adhere to standard laboratory protocols for reconstitution using bacteriostatic water or research-grade solvent appropriate for each compound

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