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Serum B12 alone can be misleading, while methylmalonic acid levels offer a more accurate assessment of whether the body is utilizing available B12
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This stabilization enhances the production of pro-inflammatory cytokines, attracting T-lymphocytes and other immune cells that contribute to esophageal damage
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Interestingly, products of lipid peroxidation may further increase overall cellular oxidative stress by facilitating the generation of free radicals through the formation of adducts with proteins, which increases direct free radical-induced protein oxidation (67)
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