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Unlike oral supplements that have to go through the digestive system before reaching the bloodstream, a vitamin B12 injection delivers the nutrient directly into the blood
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53,54 However, it has also been suggested that the enhanced release of proinflammatory cytokines (TNF-, IL-1, IL-6, and IL-10) and chemokines (monocyte chemoattractant protein-1, macrophage inflammatory protein-2, and IL-8) further promotes hepatocyte damage, thereby aggravating necrosis
Everyones situation is different, but most people who have pernicious anemia take vitamin B12 supplements for the rest of their lives
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