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According to the NHS , injections are commonly prescribed for pernicious anaemia and other absorption-related conditions

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However, other circumstances can also be responsible, such as viral pneumonia, sepsis, chest injuries, burns, blood transfusions, aspiration of gastric contents, pancreatitis, intravenous drug use, abdominal trauma, and acute radiation syndrome [165,166,167]

Monitoring: If use is pursued, arrange baseline reproductive hormones, immune markers, and frequent follow-up to catch unexpected effects early

Improves mitochondrial function

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