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Maintenance phase

The only form of B12 injection available in the UK is hydroxocobalamin

Most people meet these needs through diet alone, but older adults, people on strict plant-based diets, and those with digestive disorders may benefit from supplements, though dosages vary based on individual needs

It can lead to neuropathy, megaloblastic anemia, and pernicious anemia, [2] [13] causing symptoms including fatigue, paresthesia, depression, cognitive decline, ataxia, and even irreversible nerve damage

Conversely, M2 macrophages, which can be induced by cytokines such as IL-4 and IL-13, are associated with wound healing, tissue repair, and the resolution of inflammation through the production of anti-inflammatory cytokines and growth factors [5, 6]

Patients are encouraged to adopt a consistent skincare routine and avoid harsh products that can irritate the skin, as well as to consult with their dermatologist for personalized advice tailored to their specific skin type and condition