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BMAC, enriched with mesenchymal stem cells (MSCs) and anti-inflammatory cytokines, has demonstrated efficacy in alleviating pain and improving functional outcomes in our study

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[23], the risk of developing vitamin B12 deficiency was significantly correlated with the duration of metformin intake, with a ninefold increased risk beyond 10 years and a 4.6-fold increased risk for a treatment duration between 4 years and 10 years