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Over weeks and months of therapy, this reduced intake can lead to declining B12 levels

You might notice slightly puffy fingers or ankles, especially in the first week or two

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doi: 10.3389/fimmu.2026.1730351 Received 22 October 2025 Revised 28 January 2026 Accepted 24 February 2026 Published 25 March 2026 Volume 17 - 2026 Edited by Chafia Touil-Boukoffa, University of Science and Technology Houari Boumediene, Algeria Reviewed by Nar Singh Chauhan, Maharshi Dayanand University, India Fatma Naz Cemre Kalayci, DanaFarber Cancer Institute, United States Updates Copyright 2026 Zhan, Wang, Zhan, Yang, Liang, Yu and Wang