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Here is what the research team noted: (2) Evidence for the effectiveness of the routine and standard labral repair and biceps tenodesis is lacking

Vitamin B12 plays a fundamental role in red blood cell formation, neurological function, and DNA synthesis

8 weeks (2.55 mg/wk): ~1 vial 12 weeks (2.57.5 mg/wk): ~2 vials 16 weeks (2.510 mg/wk): ~4 vials Insulin Syringes (U-100, 1 mL) Per week: 1 syringe (once-weekly dosing) 12 weeks: 12 syringes 24 weeks: 24 syringes 48 weeks: 48 syringes Bacteriostatic Water (10 mL bottles) Use 3.0 mL per vial for reconstitution

This conservative starting point allows assessment of individual response and tolerance before increasing if desired