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For that reason, an untreated pernicious anemia often leads to neurological damage, which should explain why so many patients with neurological disorders such as Alzheimer, multiple sclerosis, peripheral neuropathy, and Bells Palsy, benefit from B12 shots
Transformation is not a one time event
As you can see most of the causes are a result of not being able to absorb B12 in the first place and not actually from intake itself
In practice, estradiol cypionate injection is frequently integrated into comprehensive hormone-replacement programs that may co-administer micronized progesterone in women with an intact uterus to mitigate endometrial proliferation risks while aligning estradiol dosing with symptom relief and serum level targets
doi:10.1111/dme.12390
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