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However, their clinical application requires rigorous evaluation of therapeutic efficacy, comprehensive safety profiling, and well-defined patient selection criteria

As I understand it (I'm not a scientist or medical professional)this means that the GP should have discussed the pros and cons of changing to oral treatment with you, made sure you understood the issues, with enough time to think about it and got your agreement before they changed your treatment

The honest summary is therefore: mechanistically rich, preclinically supported (but not uniformly) for tissue repair in animals, and clinically unproven in humans

Dietary modifications enhance treatment efficacy - emphasizing B-rich foods like nutritional yeast, wild salmon, and pasture-raised eggs

Researchers have found specific genes that are more common in people with pernicious anaemia, which backs up the idea that it runs in families