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Triggers Several potential flare-up triggers include: Stress Not getting enough sleep Medication changes Injury Excessive physical activity and/or exercise Repetitive overuse injury Smoking Spinal infections Airborne toxins can also be a trigger to a flare-up

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42 They enhance tight junction protein functionality and modulate redox balance via oxygen-consuming reactions in the intestinal epithelium, stabilizing hypoxia-inducible factors (HIFs) essential for barrier integrity

Pernicious anemia is an autoimmune disease where the body cant make enough healthy red blood cells, may also benefit from a B12 supplement, the NIH says

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Combine it with a varied diet, sufficient hydration, and regular exercise to support your overall well-being