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Description

Vitamin B12, also known as cobalamin, is one of the many B vitamins that help maintain your health

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Cases of juxta-articular Dercum disease suggest that inflammation in the adipofascia around joints may reduce lymphatic pumping in these areas resulting in a backup of fluid in the interstitial body leading to densification of fascia and eventually fibrosis around lobules of fat making them palpable as nodules

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Nitric oxide and endothelial dysfunction

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Others recommend 1mg daily

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These might include: Blood tests to assess for coeliac disease, inflammatory markers, or thyroid function Breath tests for lactose intolerance or small intestinal bacterial overgrowth Abdominal imaging (ultrasound or CT) if structural abnormalities are suspected Faecal calprotectin if inflammatory bowel disease is a concern Referral to gastroenterology for specialist assessment if symptoms persist despite initial management The MHRA's Yellow Card scheme allows patients and healthcare professionals to report suspected side effects of medications, including GLP-1 agonists

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