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Some symptoms, including fatigue and memory loss, can indicate other conditions such as a thyroid disorder

This creates a vicious cycle: the body desperately needs more B12 to repair virally damaged tissues and mount an immune response, but the gastrointestinal system is too inflamed and dysregulated to absorb the vitamin efficiently from standard food sources

2017;102:e415e418

The gradual decline in activity of the pentose phosphate pathway in older cells is one mechanism leading to oxidative crosslinking of membrane proteins and loss of membrane elasticity, leading to entrapment and turnover of the RBC in the spleen

10.1016/j.ajp.2023.103674 2 AndersonI