Recommended for most laboratory applications
doi: 10.3389/fphar.2025.1602976 Received 30 March 2025 Revised 13 November 2025 Accepted 14 November 2025 Published 19 December 2025 Volume 16 - 2025 Edited by Bernd Rosenkranz, Fundisa African Academy of Medicines Development, South Africa Reviewed by Kacper Nijakowski, Poznan University of Medical Sciences, Poland Miriam Njoki Karinja, Science for Africa Foundation, Kenya Updates Copyright 2025 Mazur, Ndokaj, Salerno, Vallone, Ardan, Bietolini, Carrouel, Wilk, Sarig, Ottolenghi and Bourgeois
Over 29 days of treatment, the peptide inhibited pulmonary artery muscularization (the thickening and stiffening of pulmonary arteries that drives this condition), prevented right heart hypertrophy (the enlargement of the right ventricle that occurs when it has to pump against increased resistance), and significantly decreased mortality
Guidance from primary care sources and specialty reviews points out a few important facts: Vitamin B12 deficiency can cause anemia and neurological symptoms, but routine screening of average-risk adults is not generally recommended Instead, testing is focused on people with higher risk, such as older adults, strict vegans, people with certain stomach or intestinal conditions, or long term use of specific medicines like metformin or acid reducers In real life, that might look like this: Your provider may suggest B12 rich foods or a standard oral B12 supplement, even without immediate lab work, if: You are over about 50 and your diet is low in animal products You follow a strict vegan or vegetarian diet and want to keep your levels up You have a mild risk factor but no concerning symptoms Your provider is more likely to order B12 labs if: You have unexplained fatigue, numbness, balance problems or memory changes You have anemia on other tests You have multiple risk factors, surgeries or long term digestive conditions that make absorption less likely Even when lab tests are not ordered right away, dosing and follow up should still be decided together with a licensed clinician
Inflammation persists past week 6
