<s>[INST] Dear Dr. Siegel, I am a female, aged 47 and experienced sudden back a few days back. The pain occurs while getting up from a chair or the bed. On showing to a doctor, I was asked to get a spine x-ray, which showed some problem in L5 and S1. Among other medicines, I have also been prescribed Meganeuron OD plus ( methylcobalamin , alpha lipoic acid and vitamins), which I understand is a supplement , Are there any side effects of taking this medicine? Thank you. Sinecerely, AAAAAA, Delhi, India [/INST] Hello and welcome to ChatDoctorI, Chat Doctor. The history of backache which is more on getting up from chair or bed and X-ray findings of a problem at the level of L5-S1 indicates disc herniation or disc protrusion or prolapse. A disc made up of fibrocartilage is present between two BNY vertebrae. It acts as a shock absorber. Sudden getting up can cause this disc to move out from its normal position. The protruding the disc causes symptoms of pain by compressing the various nerves in the vicinity. Its management is conservative initially consisting of rest and supplements if required. Supplements mentioned by you does not have any side effects if taken in prescribed dosage. A displaced disc is at high risk of prolapse if there is no prolapse initially. You should avoid picking up heavy weights and no to bend/ stand up from a bending position suddenly. This may aggravate the problem. Take rest and further an MRI may be required. Stay in touch with your treating doctor. Thanks and take care </s>