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130,132 In a randomized controlled trial in 200 postmenopausal women, 1 gram of royal jelly, taken daily for eight weeks, led to greater reductions in menopausal symptom scores than placebo

Regular exercise can help reduce bone density and muscle mass loss and reduce joint pain symptoms

[19] Green R, Allen LH, Bjorke-Monsen AL, et al

If the GP says that she doesn't have macrocytic anaemia so doesn't need this pattern of treatment, you could point out that NICE guidelines for B12 deficiency say that "Note: clinical features of vitamin B12 deficiency can occur without anaemia and without low serum levels of vitamin B12." cks.nice.org.uk/topics/anae

Furthermore, VEGF may also increase the permeability of blood vessels, which might enable the extravasation of plasma proteins and contribute to the formation of a primitive vascular scaffold, thereby potentially promoting the process of angiogenesis

this does not replace clinical counseling