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Alternative therapy, such as hydroxocobalamin, is advised

This dual anti-inflammatory action protects cellular structures from degradation and supports homeostatic recovery after trauma, surgery, or repetitive strain injuries

The peptide enhances granulation tissue formation, accelerates epithelial cell proliferation and migration over ulcer beds, and promotes vascular ingrowth supporting tissue repair

While B12 alone may not cure structural causes, it significantly accelerates nerve repair and supports vascular healthoften reducing episode frequency and severity when combined with structural care

Vukojevic J, Milavic M, Perovic D, et al