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Lab Findings: Vitamin D: 21 ng/mL (deficient) Vitamin B12: 198 pg/mL (deficient) Thyroid levels: Normal Treatment Plan: We implemented high-dose oral Vitamin D supplementation (under physician supervision), B12 injections for 10 weeks, and introduced microneedling sessions with growth serum every 3 weeks

When dermatological features occur in the dissociation of systemic findings, the deficiency of vitamin B12 can be overlooked

This approach, which often involves applying a fraction of the standard dose, is designed to investigate the cellular or physiological responses without provoking the full-blown effects of the drug

The results of a follow-up trial of ARA 290 (20) administered intravenously three times weekly for 4 wks to sarcoidosis patients with symptoms of small-fiber neuropathy also appeared to be safe and was associated with a significant improvement in the patient-reported outcomes of the small-fiber neuropathy screening list (SFNSL) (21) and the pain and well-being components of the RAND-36

Think it would be a really good idea to consider whether you are having B12 frequently enough - especially in light of neurological symptoms

A doctor can confirm the diagnosis, figure out the right dose and form of B12 for you, and make sure nothing else is being missed.