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Primary mechanism
The effects of selenium and copper deficiencies on glutathione S-transferase and [PMID: 3435464] Laboratory literature summary: The effects of selenium and copper deficiencies on glutathione S-transferase and glutathione peroxidase in rat liver
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Without ongoing B12 replacement, deficiency and symptoms will typically recur within months to years of discontinuation
Children 5-11 with a weakened immune system can receive a Pfizer booster after 28 days
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