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This Vitamin B-12 product is formulated for intramuscular, intravenous, or subcutaneous injection only and should not be given in food for oral administration

These might include: Persistent fatigue that seems disproportionate to liver disease severity Glossitis (sore, red tongue) or mouth ulcers Shortness of breath and palpitations due to anaemia Difficulty concentrating or 'brain fog' Mood disturbances including irritability or depression It is crucial to recognise that some symptomsparticularly fatigue and cognitive changesare common in both fatty liver disease and B12 deficiency, potentially leading to delayed diagnosis

what they care about is, is this going to be profitable for Big Pharma, said Turnock

Those things can both be true.

For instance, memantine, an uncompetitive NMDAR antagonist, provided limited structural and electrophysiological protection in nonhuman primate OHT models [85, 86], and oral memantine did not slow glaucoma progression in clinical trials (NCT00141882, NCT00168350) [87]