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Chris Shades quest to overcome his own mercury toxicity

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

Blood J 1996

Chen X, OuYang L, Qian B, Qiu Y, Liu L, Chen F et al (2024) IL-1 mediated fibroblast-neutrophil crosstalk promotes inflammatory environment in skin lesions of SLE