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As a neurologist and long-time specialist in ME/CFS/FM, EDS, and now long COVID, Dr

Addisonian anemia Gastrointestinal pathology, dysfunction, or surgery Fish tapeworm infestation Folic acid deficiency Malignancy of pancreas or bowel Vitamin B12 Injection Side Effects There is no reported server side effects of vitamin B12 injections

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For example, the microbial metabolite 3-hydroxybutyrate (3-HB) can activate the PI3K/AKT/mTOR pathway, upregulate the key lipid metabolism factor LPIN1, and inhibit hepatocyte ferroptosis, manifested by reduced levels of ACSL4, MDA, lipid peroxides (LPO), and Fe 2+ , ultimately alleviating SLI in mice (Hu et al., 2025)