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I had very severe spots on my face and had quite a lot on my scalp too, when I started taking oral methylcobalamin in high doses

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This is a plausible mechanistic link to healing acceleration

the area you might rub when you say your shoulders are tight. This pain typically: Worsens with neck extension (looking up) or rotation Intensifies after prolonged sitting or computer work Creates a deep, aching sensation that can feel like muscle tension May be accompanied by audible clicking or grinding with neck movement The Ulnar Nerve Distribution: Ring and Pinky Finger Symptoms The hallmark feature of C8 nerve root compression is symptoms in the ulnar distribution

More cautious dosing and closer self-monitoring make sense for older users