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You have low levels of B12 in your cells

Vitamin B12, also known as cobalamin , plays a crucial role in various metabolic processes within the body, including the formation of red blood cells, neurological function, and energy production

Because B12 is mostly in animal products, Vegans are at risk, as their diet is plant-based and they should look for foods fortified with vitamin B12

One test cannot determine the cause

Many preclinical studies have demonstrated that the expression of key enzymes for GSH synthesis (GCL, SLC7A11, GS) and GSSG reduction-related enzymes (G6PD, NADPH, and GR) is downregulated in myocardium exposed to pathological factors [40, 43,44,45,46,47,48,49,50]