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[40] Endogenous vitamin B 12 becomes inactive when exposed to hydrogen cyanide and nitric oxide in cigarette smoke
notes that a significant number of people who are B12 deficient are unable to absorb the vitamin from food or supplements, and so need to inject it, which they can only do at their GP practice
Consensus was achieved on several fronts, including comprehensive measures to address this underdiagnosed burden, emphasizing early intervention through innovative screening methods, integrated care approaches, screening and diagnosis, strategies for its prevention, insights into current therapeutic landscapes, and the significance of early intervention involving neurotropic B vitamins
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