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Other systemic illnesses, such as diabetes and hyperthyroidism, or organ diseases affecting the liver and kidneys, can also contribute to deficiency by either preventing normal absorption or disrupting vitamin storage

6 Treatment There is broad expert agreement that optimal management of fibromyalgia involves first-line non-pharmacologic interventions, prioritizing lifestyle interventions (eg, diet, exercise, and sleep improvement) as well as patient education, psychotherapy, and mindfulness or other stress management practices

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As you are technically absorbing lower amounts of B12 over time, you may have to wait for your symptoms to reduce

Mecobalamin regulates body functions like cell growth, blood formation, and protein synthesis