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During this phase, the dosage is reduced to 2-4 mg per week

Elevated MMA levels in patients with vitamin B12 deficiency can contribute to myelin damage (myelopathy) and, consequently, peripheral and autonomic neuropathy ( Cobalamin deficiency can lead to neurological manifestations such as progressive axonal demyelination, impaired peripheral and sensory nerve function, areflexia, loss of proprioception and vibration sensitivity, and subacute combined spinal cord degeneration (70)

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Results vary by individual, and no specific outcomes are guaranteed

"Extracorporeal Shock Wave Therapy for Chronic Painful Heel Syndrome: A Prospective, Double-Blind, Randomized Trial." Journal of Bone and Joint Surgery , 2007