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This was exemplifi ed by the fact that urinary excretion of methylcobalamin was one-third less that of cyanocobalamin.[1] Another point of interest regarding B12 supplementation is the commonly held belief that intramuscular injections of B12 are more effective than oral supplementation

Second and Third Line : If the diagnosis remains primary Piriformis Syndrome, its appropriate to consider second (Oral medication)and third line treatments, such as injection

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