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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

These were ex-vivo permeation experiments framed around anti-inflammatory delivery rather than wrinkle outcomes, so they speak to whether the molecule can reach the dermis, not to how much cosmetic change follows but even that limited, mechanism-level demonstration is one the injectable route has no equivalent of for reaching skin specifically

ZhangJXieHYaoJJinWPanHPanZet alTRIM59 promotes steatosis and ferroptosis in non-alcoholic fatty liver disease via enhancing GPX4 ubiquitination