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Unlike enrolling in a formal clinical trial (which has extensive consent forms explaining experimental status), patients at wellness clinics might assume if a doctor offered it, it must be safe or allowed. Such misunderstandings could lead to feelings of betrayal and litigation if things go wrong

In addition, the glutamine transaminases coupled to -amidase may provide anaplerotic -ketoglutarate as an energy source in rapidly dividing cells (Cooper et al., 2016)

Qualitative methods, which include interviews and focus groups, provide a more detailed and contextualised understanding of these findings

Unraveling the underlying mechanisms and identifying innovative approaches to effectively manage B12 level to mitigate the concomitant risks of mortality assume paramount importance in this context