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In megaloblastic anaemia, the Red Blood Cells become larger than their normal size

A serum B12 level test and, ideally, a methylmalonic acid (MMA) test should precede any B12 injection recommendation

The central mechanism is angiogenesis: the peptide upregulates vascular endothelial growth factor (VEGF) and drives new blood-vessel formation at injury sites, which brings oxygen and nutrients to healing tissue

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Clinicians are urged to exercise caution and to proactively counsel patients who may be using these products without disclosure

Its best to stick to a regular schedule with B12 shots