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It may also be prescribed when oral supplementation is not possible or not sufficient, for example after certain gastrointestinal surgeries or in severe malabsorption

To make sure this medicine is safe for you, tell your doctor if you have: eye problems or Leber's disease (in you or a family member)

Reconstitute with bacteriostatic water or sterile solution

Your doctor may recommend: Resting the affected joint and avoiding activities that worsen pain Applying ice or heat to reduce swelling and pain Taking over-the-counter anti-inflammatory medications like ibuprofen or naproxen sodium Using assistive devices like canes, crutches, or braces to support the joint Performing physical therapy exercises to strengthen muscles and improve range of motion Receiving steroid injections to reduce inflammation and pain Taking antibiotics if the bursitis is caused by an infection Undergoing surgery in rare cases when other treatments are ineffective Some anti-inflammatory medicines can be in cream form to bypass the stomach For more information on bursitis, consult the following reputable sources: In addition to medical treatment, there are several home remedies that can help alleviate bursitis symptoms: Rest the affected joint and avoid activities that worsen pain Apply ice or cold compresses to reduce swelling Use heat therapy after the first 48 hours to promote healing Support the joint with a brace, elastic bandage, or splint Elevate the affected joint on pillows to reduce swelling Use cushioning to pad the affected area and avoid hard surfaces Perform gentle stretches and exercises to improve flexibility and strength Maintain good posture and body mechanics Massage the affected area, if not caused by an infection Avoid repetitive movements, pressure, and heavy lifting when possible Bursitis is a painful condition caused by inflammation of the fluid-filled sacs that cushion your joints

Deformed red blood cells and impaired release of new ones from bone marrow characterize vitamin B12 insufficiency