cofactor of glutathione peroxidase for enzyme 9.12 What is an Antioxidant? Biological Indicators Oxidative Stress glutathione reductase cofactor Metabolic Responses

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Total gastrectomy always produces vitamin B12 deficiency

[23] Antivitamin B 12 compounds (often synthetic B 12 analogues) not only have no vitamin action, but also actively interfere with the activity of true vitamin B 12

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However, for individuals actively managing complex, reactive chronic illnesses like Long COVID, ME/CFS, or severe dysautonomia, such high starting doses are rarely recommended due to the high potential for gastrointestinal upset or rapid, uncomfortable detoxification reactions (often referred to as a Herxheimer reaction)