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Int J Cancer 1997

One of the potential causes for red cells expanding is a lack of B12, which all are on the way to various types of anemia (except I dont have low iron)

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Researchers also investigate its function in maintaining protein thiol homeostasis, regulating enzyme activity through protein glutathionylation, and serving as a cofactor for glutathione peroxidase enzymes that neutralize lipid peroxides and hydrogen peroxide

Delpre G, Stark P, Niv Y (1999) Sublingual therapy for cobalamin deficiency as an alternative to oral and parenteral cobalamin supplementation

In the early stages, varying degrees of fatigue, weight gain, and cognitive decline may be observed