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Alcoholics are at a higher risk of B vitamin deficiencies People on dialysis could also be at a higher risk.[ref] Celiac disease can also cause decreased absorption of vitamin B6

Furthermore, molecular hydrogen may help preserve NADPH levels by: Protecting glucose-6-phosphate dehydrogenase (G6PD), the rate-limiting enzyme in the pentose phosphate pathway that generates NADPH Reducing overall cellular oxidative status, decreasing NADPH consumption by other systems Preserving mitochondrial function, supporting energy metabolism that indirectly maintains NADPH production This conservation of NADPH availability ensures that glutathione reductase has adequate cofactor supply to perform its glutathione recycling function, especially during periods of increased oxidative challenge

doi: 10.1001/jamaneurol.2019.3446

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After that, the B12 goes into your blood