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This process not only affects normal cell metabolism, but also directly or indirectly damages biological macromolecules, including proteins, lipids, nucleic acids, etc., thus interfering with many aspects of cell signaling, energy production, gene expression, and cell cycle regulation (Zaarour et al., 2023)
Another critical function of vitamin B12 is giving the digestive system energy to digest food and metabolism with carbohydrates, fats, and proteins
Doses are adjusted based on lab results, how the patient responds, and individual assessments
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