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Despite the treatment with vitamin B12 injections, the patient showed an initial poor response with worsening thrombocytopenia with platelet counts as low as 18K/mm 3

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Individuals at higher risk include older adults with reduced stomach acid production, people with gastrointestinal conditions affecting absorption, strict vegans, and those taking medications like metformin or proton pump inhibitors

Horizontal transfer of whole mitochondria restores tumorigenic potential in mitochondrial DNA-deficient cancer cells

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