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Some adults become completely unable to absorb B12 from pills

Supportive and Non-Pharmacological Measures: Gentle stretching and massage of affected muscles Warm baths or heating pads to ease tight muscles Adequate hydration before and after physical activity Correction of electrolyte imbalances when present Avoiding strenuous activity or repetitive motions when fatigued If muscle spasms are severe, persistent, or accompanied by other symptoms, it is important to consult a doctor

Unprescribed wellness or weight loss treatments Some wellness companies and alternative medicine providers offer vitamin injections without a prescription or proper medical evaluation

But many many improvements from where I started