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A patient might consider Vitamin B12 injections if they experience: Symptoms of deficiency, such as fatigue, weakness, numbness, or memory issues Digestive disorders like Crohns disease or celiac disease, which hinder absorption Pernicious anaemia, a condition where the body cannot absorb B12 efficiently Post-surgical conditions, such as gastric bypass surgery Vegan or vegetarian diets, as they lack natural B12 sources Chronic conditions requiring higher B12 levels, such as fibromyalgia or multiple sclerosis Always consult a healthcare provider before starting Vitamin B12 injections

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Mechanistically, intra-articular AOD-9604 may stimulate synovial fibroblast proliferation or reduce inflammatory cytokine production in the synovial microenvironment, though direct effects on cartilage are unclear

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