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Description
Thomas Sydenham (1624-1689) described the lumps of uric acid (called tophi) that can be seen in gout, based on his own personal suffering

If the gut cannot absorb B12 for example, pernicious anemia or after certain gastric surgeries injections are often necessary

sterile water vs

How often should I get B-12 injections

[DOI] [PubMed] [Google Scholar] 179.Nagaoka T., Sakamoto T., Mori F., Sato E., Yoshida A

12 mg remains the highest-efficacy dose, but it carries a meaningfully worse GI burden and a correspondingly higher dropout risk
