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For patients with pernicious anaemia or malabsorption disorders , intramuscular hydroxocobalamin injections represent the standard treatment in the UK, as oral supplementation cannot overcome the absorption defect
It is important to acknowledge that the profound fatigue, brain fog, and unpredictable immune flares you experience are not in your headthey are the direct result of measurable, physiological disruptions at the deepest cellular levels, driven by severe oxidative stress and mitochondrial dysfunction
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