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Expected timeline: Week 1-4: Inflammation reduction, potential nerve symptom improvement Week 4-8: Progressive healing, reduced radicular symptoms Week 8-12: Structural improvements developing, continued symptom reduction Week 12-16: Consolidation of gains, assessment for continued protocol Important notes: Disc herniations vary enormously in severity

emphasized the involvement of inflammation in the development of OA [11]

Animal-based foods are the primary sources of B12, so supplementation is particularly important for vegetarians and vegans

Focus protein intake on b12-rich sources rather than plant-based proteins during active weight loss