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Understanding the intracellular action mechanisms of B vitamins in nociceptive pathways sheds light on their potential to lower excitability, reduce sensitization, modulate neuroinflammation, and impact neurotransmitter systems involved in pain modulation [54]

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Future trials should also measure important outcomes such as the clinical signs and symptoms of vitamin B 12 deficiency, health related-quality of life, socioeconomic effects, and report adverse events adequately, preferably in a primary care setting. Clinical practice guidelines British Columbia Medical Services Commission (MSC)

By enhancing metabolic rate, B12 ensures that the body uses energy more efficiently

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