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The effects include correcting iron imbalances associated with hypoxia, enhancing fatty acid -oxidation, and strengthening the antioxidant defense system by activating the AMP-activated protein kinase (AMPK)-nuclear factor erythroid 2related factor 2 ( NRF2 )-glutathione peroxidase 4 ( GPX4 ) axis

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J Diabetes Res (2021) 2021:7382620

Certain individuals should not receive B12 injections without explicit medical clearance or should avoid them altogether