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It upregulates growth factor expression (including EGF and VEGF), modulates nitric oxide pathways, and counteracts the damage caused by NSAIDs, alcohol, and chronic stress on the stomach and intestinal walls

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Summary: Vitamin B12 injections for pernicious anaemia deliver hydroxocobalamin intramuscularly to bypass malabsorption caused by lack of intrinsic factor, rapidly correcting deficiency and preventing neurological damage