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It signals fibroblasts to build collagen and elastin, activates angiogenesis (new capillary growth), reduces inflammatory cytokines like TNF-alpha, and helps stem cells migrate to repair sites

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Sublingual B12, which bypasses the gastrointestinal tract, is the least invasive and potentially most cost-effective option, especially for individuals with impaired absorption, making it an attractive alternative for long-term and patient-friendly management (Vidal-Alaball et al., 2006)

Avoid douching, which can remove healthy bacteria