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Because of the impairment of the ability to use glucose and fat, there is an increasing dependency on muscle breakdown, providing essential substrates for acute phase protein synthesis and energy production [69]

Oxidative-stress-induced free radicals have been found to be key players in the pathophysiology of diabetes mellitus and neurodegenerative diseases [39]

Major barriers include challenges in nanoparticle manufacturing scale-up and standardization, unresolved safety and immunogenicity concerns, heterogeneous patient responses, and insufficient clinical trial evidence

Our medical teams position is straightforward: any vegan or vegetarian who is pregnant or breastfeeding should have B12 status confirmed, not assumed