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It purportedly works by modulating multiple growth and repair pathways, including angiogenesis (the formation of new blood vessels), fibroblast activation, nitric oxide signalling, and anti-inflammatory cascades, all of which are essential to the healing process
That said, deficiency is rare and can only be confirmed through a lab test
Older adults might also struggle to absorb enough B12, especially if they have reduced stomach acid, which is needed for proper absorption
It punches holes in microbial cell membranes and disrupts their energy metabolism
It also supports detoxification
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