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doi: 10.1046/j.1523-1755.2002.00367.x

Later, Ara et al

Vitamin B12 deficiency can affect you in various ways, making it crucial to understand the potential risk factors
Although cholinergic suppression of inflammation can contribute specifically to alleviating metabolic complications, direct cholinergic effects on metabolic pathways could also have a role in alleviating symptoms associated with the metabolic syndrome and type 2 diabetes mellitus

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