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Surgical alterations to the digestive system can affect the areas responsible for B12 absorption

This could prevent ferroptosis and lessen inflammation caused by the release of lipid metabolites and damage-associated molecular patterns (Figure 2)

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SAC, a major organosulfur compound in aged garlic extract, prevented renal damage caused by ROS in cisplatin-treated rats, by limiting cisplatin-induced reduction of glutathione level, Nrf2 expression, and activity of several antioxidant enzymes (catalase, glutathione reductase, glutathione peroxidase) (25)

Who is not a candidate for B12 injections