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Vitamin B-12 is essential for the production of red blood cells, DNA synthesis, and the functioning of the nervous system

These treatment options dont work well for everyone, and in the case of blood transfusions, may come with complications like the body producing antibodies against the donor blood cells

Amgen, the pharmaceutical company that produces Enbrel in the United States, still has patent protection over the drug, meaning other companies cannot yet make biosimilar versions of the medication that tend to be less expensive. There is no Enbrel biosimilar (comparable to a generic) yet

Another potential mechanism of action for the pain-reducing properties of vitamin B12 comes from interactions with prostaglandin synthesis, including cyclooxygenase (COX) enzymes