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Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review
Moreover, the positive effects of vitamin E supplementation in the treatment of NASH have been documented in several clinical trials 19,20
it was actually being taken up by the cells where it is needed most
While patience makes sense in the early weeks, persistent symptoms beyond 3 months suggest the underlying cause requires professional evaluation
Wound healing involves a multistep process, including cell proliferation, migration, tube formation, and remodeling
