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Most doctors are glad to add this when you mention the concern
Most elevated B12 levels are asymptomatic and discovered incidentally during blood tests
Information for Patients: Patients with pernicious anemia should be informed that they will require monthly injections of vitamin B 12 for the remainder of their lives
It has been extensively studied in animal models for its regenerative effects across multiple tissue types, including tendon, ligament, vascular endothelium, muscle, and intestinal mucosa
2021, ods.od.nih.gov/factsheets/VitaminE-HealthProfessional/
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