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Shockwave therapy is not FDA approved as of today and it's considered experimental, but we do offer it in our office because for the right patient, it can be effective

Yet, it is important to note that there have been studies that show taking a higher dose of vitamin B12 supplementation can still provide enough of the daily recommended values of vitamin B12 to those who may have problems absorbing vitamin B12 due to lack of intrinsic factor protein intake or creation, digestive issues, or age

After that, you may shift to once-a-week injections for one to two months, and then to monthly injections

If you are interested in a weight loss medication that can be managed via telehealth, our providers can discuss semaglutide or tirzepatide both of which are available through Rivas Telehealth