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Appears to modulate inflammatory cytokines and oxidative stress pathways, which may help protect tissues under mechanical or chemical stress

Other oral medications may come with their own set of side effects

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Diet and Lifestyle: In conjunction with injections, dietary adjustments or oral supplementation may be considered to maintain adequate vitamin B12 levels, especially in dietary-related deficiencies

High-dose oral supplements (often 10002000 micrograms daily) or intramuscular injections (typically 1mg hydroxocobalamin) used to treat pernicious anaemia or deficiency states can temporarily elevate serum levels