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Type 3: Recovery-heavy approach If the patient’s cognitive fog is clearly driven by past injury, ongoing inflammation, or poor systemic recovery, the anchor often begins with systemic anti-inflammatory and repair-supportive peptides, then adds neurocognitive tools once the inflammatory floor is raised

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The 2024 NICE NG239 guideline on vitamin B12 deficiency in over-16s lists the main groups who need injections: Autoimmune gastritis (pernicious anaemia)