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The preference for using oxidative phosphorylation (OXPHOS) to meet energy demands, and the resulting increase in reactive oxygen species (ROS) has been shown to be a targetable vulnerability of MNA cells (8, 12, 13)

Pernicious anemia is an autoimmune disease in which the immune system attacks the parietal cells of the stomach which produce intrinsic factor, a protein normally responsible for most of the bodys B12 absorption

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However, due to factors such as diet, age, or other medical conditions, some individuals may struggle to get enough B12 from their diet alone

A nurse is likely to adhere to hospital procedure whereby one checks the expiry date and doesn't contine if out of date/expired