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When commencing B12 replacement therapy, it is essential to recognise that pre-existing joint conditions will not resolve with vitamin supplementation alone and may require separate rheumatological assessment and management according to NICE guidelines

Vitamin B12 enhances these effects by contributing to the production of red blood cells and improving oxygen delivery throughout the body, which supports endurance and energy expenditure

I then became a holistic therapist which made my back worse lol

Bibcode:1957Sci...125..884B

But, adverse effects are recorded in a way that necessitates their inclusion as B12 injection symptoms