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Patients should be told why a compounded product is being recommended instead of an FDA-approved alternative

Vitamin B Complex injection contains thiamine, riboflavin, pyridoxine, niacinamide, d-panthenol, and cyanocobalamin

Studies suggest that an injection of Butaphosphan and Vitamin B12 on the day of calving and one day later can decrease the prevalence of subclinical ketosis during the week after calving in mature dairy cows

It can be a sad, slow process to witness

At the same time, the absence of randomized controlled trials in humans means I cannot tell you with certainty what it does in the human body at therapeutic doses over months or years

Conventional therapies including physical therapy, rest, and anti-inflammatory medications form the standard care foundation