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Can I get too much B12 from injections
However, the biologic rationale for its use in SCD is not based on improving intestinal barrier function but rather to reduce erythrocyte redox imbalance, which triggers sickling of the erythrocytes

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Nutrients 12(3):744 Essenburg C et al (2023) Antioxidant defense enzymes in multiple sclerosis: a 5-year follow-up study

This is typically an arthroscopic surgery