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Trigger point injections are thought to work by causing local relaxation of muscle fibres, leading to a reduction in tension and a reduction of afferent pain traffic back to the spinal cord

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This diagnosis is infrequently considered even though B 12 deficiency is readily treatable with oral vitamin B 12 , which has replaced parenteral B 12 therapy

Tan, Z., Scheetz, J

The mechanism relies on these lipotropic agents enhancing liver function and fatty acid oxidation, though clinical evidence on efficacy remains limited and heterogeneous