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(10) Z Garoufalia, A Papadopetraki, E Karatza, et al (2021) Insulin-like growth factor-I and wound healing, a potential answer to non-healing wounds: A systematic review of the literature and future perspectives Biomedical Reports, 2021 Jun 8, Volume 15 (Issue 2), Page 66

doi: 10.1111/and.v51.10 102 MajzoubAAgarwalA

some may trial high-dose oral with close monitoring (NHS)

oral forms are also used by some

Reduced secretion of gastric acid and pepsin, from the use of H 2 blocker or proton-pump inhibitor (PPI) drugs, can reduce the absorption of protein-bound (dietary) vitamin B 12 , although not of supplemental vitamin B 12

IV glutathione may show faster results but carries higher risks and must only be administered under strict medical supervision