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When treating with Vitamin B12 shots, we must think about each patients needs

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Neutrophils are signaled to the areas of inflammation even without infection present, but bacterial presence can push this neutrophilic response further, generating more oxidative stress from released reactive oxygen species, more crosslinking of the mucins from the oxidative stress, and more DNA released from dying epithelial and neutrophil cells (Yuan et al., 2015

But injectable B12 might be needed for severe cases or when absorption is a problem