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But if you dont have enough B12, those processes slow down and you feel tired and exhausted

However, if the defenses are too weak, then infections cannot be handled or body cells can proliferate uncontrolled and grow to form tumors, which can become life threatening. In vivo, T-cell-specific ablation of murine Gclc prevented autoimmune disease but blocked antiviral defense, the Immunity article noted

Yes, combining B12 therapy with physical therapy and pain management can enhance treatment