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6.2.3.3 Cytokine dysregulation and myelin swelling Elevated levels of proinflammatory cytokines, such as TNF-, and reduced levels of epidermal growth factor have been observed in Vit B12-deficient states (Buccellato et al., 1999)

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In many cases, digestive symptoms are temporary and improve as the body adapts, but persistent or severe symptoms should always be discussed with your healthcare provider. Everyone Responds Differently Some participants reported very few side effects, while others experienced more noticeable gastrointestinal symptoms

For this reason, a more realistic and sustainable strategy focuses on working with the bodys limits rather than against them

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