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B12 injections may be used when a healthcare provider wants to bypass the digestive system or treat a confirmed deficiency more directly

Strength begins returning for movements that were previously problematic

It upregulates genes involved in collagen synthesis (COL1A1, COL3A1, COL5A1), extracellular matrix remodeling (decorin, fibromodulin), and antioxidant defense (superoxide dismutase, glutathione peroxidase) while simultaneously suppressing genes associated with inflammation (IL-6, TNF-alpha), fibrinogen production, and tissue destruction (several MMPs)