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If they are still doing well at 4 months, I suggest that we try stopping it to see if the migraines have entered into a more stable episodic pattern

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Several factors affect how often B12 injections are needed: The severity of the initial deficiency The presence of neurological symptoms Underlying health conditions affecting B12 absorption The patients response to initial therapy Ongoing monitoring of serum B12 levels By customizing the injection frequency for each patient, we make B12 therapy more effective

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