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Before manifesting classic symptoms like pernicious anemia, patients may experience a stage of inadequacy characterized by abnormal levels of biomarkers related to vitamin B12 deficiency, such as holotranscobalamin, methylmalonic acid, and homocysteine
Moreover, this procedure works best for ready and willing people to work hard to achieve results
The trade-off is efficacy: NAC has stronger evidence for raising intracellular glutathione levels than oral glutathione does, precisely because NAC is actually absorbed
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