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In fact, around 75% of patients can avoid surgery through progressive rehabilitation, allowing them to reclaim their lives

10.1146/annurev-pathol-042320-030240 85 NathanS

Interaction of IL-6 and TNF-alpha contributes to endothelial dysfunction in type 2 diabetic mouse hearts

Thus, shifts in epithelial metabolism under inflammatory conditions might partly represent changes in IEC subtype composition and differentiation state and therefore, be secondary to inflammation

The best thing to do would be to use a sublingual form, so that the B12 gets absorbed that way and bypasses the digestive route
