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In some cases, like acetaminophen overdose, the mechanism is well established
Pehlivanoglu S, Enar R Mutlu H Sert A Ersalni M Yazicioglu N
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ALOX5 deficiency contributes to bladder cancer progression by mediating ferroptosis escape
Chemosphere 64 (10), 16591666
Therefore, if you have recently changed your diet, become vegan, and stopped consuming B12-rich foods, it may take several years for a deficiency to become apparent, and dietary supplementation might be an adequate solution over any need for B12 injections
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