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Anti-inflammatory therapy offers novel intervention strategies for EDC

[1] Specific situations warranting B12 testing include: Persistent unexplained fatigue or weakness Neurological symptoms such as numbness, tingling, or balance problems Cognitive changes or memory difficulties Following a diagnosis of autoimmune conditions (pernicious anaemia often coexists with other autoimmune diseases) Adherence to a strict vegan or vegetarian diet without supplementation Gastrointestinal disorders affecting absorption (Crohn's disease, coeliac disease, previous gastric surgery) Long-term use of medications that interfere with B12 absorption, including metformin (commonly prescribed for type 2 diabetes) and PPIs Unexplained macrocytic anaemia detected on routine blood tests Pregnancy, where prompt treatment of deficiency is important Urgent action is needed if you develop neurological symptoms such as significant paraesthesia, ataxia (poor coordination), gait disturbance, or cognitive changes

Macromol Mater Eng 286(9):560563 Monte LG, Santi-Gadelha T, Reis LB, Braganhol E, Prietsch RF, Dellagostin OA, Lacerda ERR, Gadelha CAA, Conceio FR, Pinto LS (2013) Lectin of Abelmoschus esculentus (okra) promotes selective antitumor effects in human breast cancer cells

Vitamin B12 tablets, also known as cyanocobalamin, can be bought over the counter from pharmacies or health stores, but these are not usually as effective as the injection

However, if you experience persistent irritation, burning, or unusual reactions, discontinue use and consult a dermatologist
