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S2CID 24549104

There are two possible causes of a vitamin B12 deficiency: inadequate intake, or inability to absorb it into the body

Inflammation is part of tissue response, but excessive or poorly regulated inflammatory signalling can interfere with repair processes

The math breaks when researchers assume 'one vial equals one dose' without checking the reconstitution volume

To gauge improvement, track specific issues you had before, for instance, frequency of mouth sores (which can occur with B deficiencies), or numbness in feet, or level of fatigue on a 10-point scale

As a result, vitamin B 12 deficiency is relatively common, especially among older people