Starting condition: Right shoulder impingement from years of pressing (overhead press hurt, bench press was uncomfortable, even lateral raises caused issues) Post-workout stiffness lasting 48-72 hours minimum Gut problems: bloating after most meals, unpredictable bathroom schedule, general digestive discomfort Training frequency limited by recovery capacity The protocol: One 500mcg capsule first thing in morning (empty stomach) One 500mcg capsule before bed (2+ hours after last meal) Zero other variables changed: same training split, same nutrition, same sleep schedule Tracked shoulder range of motion, post-workout soreness duration, digestive symptoms Week 1: Nothing

Cyanocobalamin Injection, USP 1,000 mcg/mL NDC 87188-111-01 1 mL Fill in a 2 mL Multiple-Dose Vial NDC 87188-111-90 25 vials in a carton NDC 87188-112-01 10 mL Fill in a 10 mL Multiple-Dose Vial NDC 87188-112-01 1 vial in a carton NDC 87188-113-01 30 mL Fill in a 30 mL Multiple-Dose Vial NDC 87188-113-01 1 vial in a carton Store at 20C to 25C (68F to 77F)
The patient should avoid ingesting caffeine and smoking for 30 minutes prior to BP measurement and should be resting for 5 minutes prior to BP measurement
Tingling or numbness: Carpal tunnellike symptoms may appear if IGF-1 levels rise too high