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Unlike B12 deficiency, which produces recognisable neurological and haematological symptoms, excess vitamin B12 typically remains asymptomatic and is discovered incidentally during routine blood tests

Additionally, inflammation in the gut may disrupt communication between intestinal cells and the endocrine system, affecting hormones that regulate appetite and energy expenditure

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Treatment depends on the underlying cause but may include medications, lifestyle changes such as wearing loose-fitting clothing or avoiding certain activities that trigger the pain, avoiding sexual contact until the issue resolves itself, using an anti-inflammatory cream or ointment for localised symptoms, undergoing physical therapy for more severe cases of chronic pain syndrome (CPPS), or seeing a doctor for further evaluation if other treatments arent successful