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For musculoskeletal injuries, that means the patient still needs proper diagnosis, load management, progressive rehabilitation, adequate protein intake, high-quality sleep, and correction of the movement pattern or training error that contributed to the injury

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It has also been shown to lower homocysteine levels, a molecule linked to inflammation and cognitive decline, with longitudinal studies linking optimal B12 levels with improved cognitive function, mood and reduced risk of neurodegenerative disease

So while the answer is technically yes, it can cause nausea, the more accurate answer is that it's not a guaranteed outcome and is often preventable

For patients with both MCAS and autoimmunity, flare-ups are often more severe, prolonged, and resistant to standard interventions

Effects of metformin or rosiglitazone on serum concentrations of homocysteine, folate, and vitamin B12 in patients with T2DM mellitus
