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Daily local cryotherapy appears safe for most individuals without contraindications

Additional risk factors include: Age over 60 years (reduced stomach acid production) Autoimmune conditions (thyroid disease, vitiligo, type 1 diabetes) Family history of pernicious anaemia Chronic alcohol consumption Diagnosis and Testing Diagnosis of vitamin B12 deficiency anaemia requires a combination of clinical assessment, laboratory investigations, and sometimes specialist testing

Pro tip: Works best alongside anti-inflammatory foods (like omega-3s, leafy greens) and consistent resistance training that enhances insulin sensitivity

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