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In other words, the schedule is a sensible default that a clinician can adjust, not a fixed rule you should try to bend on your own

More serious deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes

It generally requires preparing the patient, applying local anesthesia, aspirating fluid from the joint or bursa, and then administering the appropriate medication, like corticosteroids