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Melnikov said his patient was lucky that the injections did not affect any other parts of his body.

Cytokine modulation: Reduced TNF- and IL-6, with a documented shift toward pro-resolving macrophage phenotypes

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

These symptoms can significantly impact work, daily life, and social activities, as well as lead to depression