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Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant

Again, theseresults last from 1 to 2 years

If you believe you may produce a lower amount of intrinsic factor, using it sublingually is a reasonable approach

TNF- inhibitors also reduce the expression of molecules involved in chemotaxis, invasion, and the adhesion of immune cells at the site of inflammation, thereby reducing local inflammatory processes [12,13,30]
