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According to researchers at the Asian Institute of Science and Technology in Malaysia, papaya leaf extract was extremely effective in increasing the platelet count in patients who had dengue (4)

The liver stores are a bit irrelevant to someone who has PA or a B12 absorption problem though because the mechanism that is used to release them relies on the same mechanism that is used to absorb most dietary B12 so accessing any stores is at best very inefficient

You might be a good candidate if you have confirmed low B12 levels (from lab work), follow a strict vegan/vegetarian diet, have digestive issues reducing B12 absorption (e.g., after gastric surgery, or with conditions like Crohns), or experience chronic fatigue and other symptoms linked to B12 deficiency

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Consider a dose increase to 20 mg/day after several weeks if insufficient clinical improvement is observed