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Identify the underlying cause Dietary deficiency, malabsorption, and pernicious anaemia may need different long-term pathways

B12 supplementation is extremely safe with no established upper limit for toxicity

BPC-157 works mainly by raising VEGF and protecting endothelial cells, creating the right biochemical environment

If the methylcobalamin injection triggered this for whatever reason, may be best to avoid methylcobalamin in the supplements just in case something going on with that still

Dowd CA et al

Unlike standard oral multivitamins, this injection delivers the nutrients directly into muscle or bloodstream, ensuring full absorption