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Although low serum B12 levels have been associated with increased bone turnover and fracture risk (9) , long-term B12 and folic acid supplementation did not improve bone mineral density (38) , or reduce osteoporotic fracture incidence in elderly individuals with elevated plasma homocysteine levels (39)

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This is another reason to treat gout flares quickly, since starting early often means the flare will be short and you can limit your time off your feet

How it works The best-documented mechanism runs through VEGFR2, a receptor that triggers new blood vessel formation, paired with the Akt-eNOS pathway, which generates nitric oxide to support vascular repair and restore blood flow to damaged tissue (Rodgers et al., 2025)