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2 The British Society for Haematology recommends intramuscular vitamin B 12 for severe deficiency and malabsorption syndromes, whereas oral replacement may be considered for patients with asymptomatic, mild disease with no absorption or compliance concerns

This dual approach can be particularly effective for athletes, post-surgical patients, or those with inflammatory bowel disease plus joint pain

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Microbial contamination

Early intervention with BPC-157 may help prevent progression to chronic stages by restoring normal healing before pathological adaptations occur

In contrast, a B12 injection (typically administered into a muscle, known as an intramuscular injection) bypasses the entire digestive system