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Well look at the key guidelines for Vitamin B12 injections

Folic acid can improve some blood findings while allowing nerve complications of B12 deficiency to continue if B12 deficiency is not treated

Some people may not be able to get enough b12 from their diet and may need to get a b12 injection

A second opinion is useful when trigeminal neuralgia treatment is not working, when medication side effects are limiting, when MRI findings do not clearly match the symptoms, or when MVD surgery, Gamma Knife, or rhizotomy has been recommended