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39 The outcome of these studies reinforces the notion that the intestinal epithelium is essential for separating luminal antigens from mucosal immune components, and that its disruption by altered proliferation/apoptosis ratio can result in immune activation and inflammation (Figure 1)

If you are not deficient then any B12 injected that is not needed and surplus will simply be eliminated by your body

These issues usually go away by themselves

This appears to be largely mediated through improvements in insulin sensitivity and weight loss, which reduce androgen excess and normalise hypothalamic-pituitary signalling

for B12 Shot Therapy

The post op care was excellent