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Vitamin B12 shots are a particularly good option for people who cant manage their vitamin B12 levels without making any dietary changes, are older, have had weight loss surgery, and take certain medications

People with the inherited condition trimethylaminuria, who cannot efficiently oxidize TMA, are more prone to it

In addition, poor fibrin balance has been linked with autoimmunity, chronic inflammation, poor wound healing, chronic fatigue, and pain syndromes

Its definitely a common thing that were seeing in the office, said Marisa Garshick, MD, a board certified dermatologist and clinical assistant professor of dermatology at Weill Cornell Medicine