Yes, people with pernicious anemia need vitamin B12 for life
When levels of B12 are low, these vital processes falter, leading to symptoms like profound fatigue, muscle weakness, tingling, and cognitive issues
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[13] [18] Anti-Inflammatory and Neuroprotective Effects Reduces pro-inflammatory cytokines (TNF-, IL-6) and promotes M1-to-M2 macrophage shift
Many patients choose the morning because it is easier to remember, but there is no universal rule that B12 must be taken at a specific hour for it to work