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are Grampositive bacilli, which means they are catalase positive, have a length of 15 m, are nonmotile, and do not produce bacterial spores

instead, it may activate alternative receptor pathways or cellular mechanisms distinct from IGF-1 axis engagement

Autoimmune Atrophic Gastritis: Current Perspectives. Clinical and Experimental Gastroenterology, vol

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Gastrointestinal symptoms (more common with oral preparations): Mild nausea or upset stomach Diarrhoea (typically with very high doses) Other effects: Headache, particularly when treatment is first initiated Dizziness or light-headedness Skin reactions such as mild rash or itching Temporary reddish discolouration of urine (chromaturia) after hydroxocobalamin injections, which is harmless It is important to note that many symptoms attributed to B12 supplementation may actually represent the body's response to correcting a deficiency

Ayurveda explains this through impaired Agni, where the body is unable to properly convert food and nutrients into usable energy and tissue