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46 Lipid mediators, such as prostaglandins and leukotrienes, 47 play crucial roles in modulating inflammation by regulating the recruitment and stimulation of immune cells

And yes, you're right about the B12 levels fluctuating....depends on where you are in the injection cycle, how much exercise / activity you have been doing, infection, medication, stress....and a whole host of other things

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These can cause nerve damage or inflammation that may trigger trigeminal neuralgia