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Its main job is to sweep up "free radicals", unstable molecules that cause damage to your cells, a process known as oxidative stress

The lack of clinical improvement after 48 weeks for anemia and after 612 months for neurological signs could suggest that the symptoms are not due to B12 deficiency or that the dose of vitamin B12 or the route of administration needs to be adjusted to the severity of symptoms

Thiamin supplements may also help for people who experience: malabsorption syndrome severe, prolonged vomiting gastric bypass surgery renal replacement therapy hyperthyroidism People who are pregnant, lactating, or use diuretics may also benefit from vitamin B1 supplements

In summary, follow a normal healthy diet