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Interview, Mahsa Pazokifard, patient, August, 2025

doi: 10.3390/nu13072421 111 MosherAATsoulisMWLimJTanCAgarwalSKLeylandNAet al

SELENOP Selenium (Se) is an essential trace element critical for human health, with approximately 2.3% of the bodys total selenium residing in the brain [105]

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Hydroxocobalamin is the standard UK preparation, administered intramuscularly for conditions like pernicious anaemia and gastrointestinal malabsorption B12 acts as a cofactor in DNA synthesis, red blood cell formation, and nervous system function, supporting energy metabolism pathways Common side effects include injection site reactions, mild gastrointestinal upset, and temporary urine discolouration, with serious reactions being rare NHS access requires GP assessment with blood tests