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As rehabilitation progresses and active training resumes (typically 8-12 weeks post-surgery depending on the procedure), the protocol transitions to maintenance dosing with cryotherapy reserved for higher-intensity training days

Pediatr Int 50(4):528532

These include: Inappropriate dosing or frequency Lack of proper diagnosis and monitoring Non-sterile injection technique increasing infection risk Absence of medical supervision for adverse reactions Financial cost without clinical benefit Patients should report any suspected adverse reactions to B12 injections via the MHRA Yellow Card scheme

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