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This pointed toward an alternative etiologyspecifically, a PTMA secondary to vitamin B12 deficiency Table 2

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According to 2022 research published in Frontiers in Endocrinology (Lausanne), TB-4 may offer anti-inflammatory effects that may be used for various issues, including myocardial infarction and myocardial ischemia-reperfusion injury, xerophthalmia, liver and renal fibrosis, ulcerative colitis and colon cancer, and skin trauma ( 13 )

By maintaining sufficient B12 levels through injections, bone health can be supported, reducing the likelihood of osteoporosis-related complications