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For B12 to be absorbed properly, it must bind with a protein called "intrinsic factor," which is produced in the stomach

This family includes antiapoptotic members (e.g., Bcl-2 and Bcl-xL) and proapoptotic members (e.g., Bax and Bak)

E.Hernndez-MendozaA.Gonzlez-CrdovaA

A daily multivitamin or a clinician-recommended B12 supplement can help maintain levels

Besides, the effect of psychiatric drugs on gut microbiota currently used in BD patients, together with new therapeutical approaches targeting this ecosystem (dietary patterns, probiotics, prebiotics, and other novelties) will also be contemplated

To me (a layman), that indicated poor red blood cell production, and those that were produced were malformed and had short life spans