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

Signs that may mean you need Vitamin B12 injections include fatigue, weakness, and neurological changes

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Vitamins are required in small quantities to help bodies grow, develop, and function properly

NICE and British National Formulary (BNF) guidance recommend 1 mg hydroxocobalamin on alternate days until no further improvement in symptoms is observed

Individual results vary based on baseline metabolic health, lifestyle factors, and protocol adherence