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GPs can prescribe B12 injections following appropriate investigation, which should include: Full blood count to identify macrocytic anaemia Serum B12 and folate levels to confirm deficiency (using laboratory-specific reference ranges) Methylmalonic acid and/or homocysteine when B12 results are borderline Intrinsic factor antibodies if pernicious anaemia is suspected Additional tests depending on clinical presentation (e.g., thyroid function, coeliac serology) When both B12 and folate deficiency are present, B12 should be replaced before folate to avoid precipitating subacute combined degeneration of the spinal cord

Physical Therapy Physical therapy remains the gold standard first-line treatment with strong evidence supporting eccentric loading programs

For five long weeks, I soldiered on, waiting for the swelling to subside and still doing pretty much my same training routine

Gradual titration from the lowest dose is always the safest approach when introducing a new compound with a different mechanism of action

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