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I finally found a doc who tried B12 injections
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Step 4: Stay hydrated

With permanent vessel obstruction, once the therapeutic effect begins, the beneficial action proceeds without further reappearance of the adverse effects of vessel obstruction (Duzel et al., 2017

When investigating B12 deficiency, it's important to check folate status as well, as the two deficiencies often coexist

doi: 10.1056/NEJM200102083440605

Inform patients to contact their care team if changes in vision are experienced during treatment
