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Daniel Uba, MD Published Aug 19, 2025 11 min read Weve all been there

Expected m/z for [E-Met+H] + (a), [E + H] + (b), [E-Met+GSH + H] + (c), and [E + GSH + H] + (d) are indicated

Its important not to self-diagnose symptoms of a B12 deficiency can be quite general, so its good to get a comprehensive medical assessment to rule out other conditions and accurately diagnose a B12 deficiency

J Biol Chem 274:1145511458 Gout PW, Buckley AR, Simms CR, Bruchovsky N (2001) Sulfasalazine, a potent suppressor of lymphoma growth by inhibition of the x(c)- cystine transporter: a new action for an old drug

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For TCM herbs, there are examples like licorice ( Glycyrrhiza ) which can cause hypokalemia and affect digoxin toxicity, or ginseng potentially affecting coagulation