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This involves a low glycemic index diet, exercise, therapies that help reduce excess androgens and estrogens, targeting insulin resistance and antioxidant status, acupuncture/electoacupuncture, and improving the luteal phase (progesterone balance)

Higher Doses: Injections can provide the jumpstart needed to correct severe deficiencies quickly

Unlike oral supplements, B12 injections deliver the vitamin directly into the bloodstream , bypassing digestive absorption issues that can limit effectiveness

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Key finding: AOD 9604 reduced cartilage damage score by 67%, decreased MMP-13 activity by 58%, and preserved joint space width