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Its antioxidant mechanism primarily includes two aspects: firstly, through glutathione peroxidase (GPx), it reduces hydrogen peroxide (H2O2) to water (H2O), while itself is oxidized to oxidized glutathione (GSSG), which is subsequently regenerated back to reduced glutathione (GSH) by glutathione reductase

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A 2012 case study published in the New England Journal of Medicine describes a 62-year-old man who came into hospital with suspected pernicious anemia and was found to have low levels of vitamin B12

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This condition can progress to more severe liver issues, including nonalcoholic steatohepatitis (NASH), liver cirrhosis, and even liver cancer