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Concurrent nutritional deficienciesparticularly folate or iron deficiencycan impair the response to B12 treatment, as these nutrients work together in red blood cell production

Lifestyle modifications, including regular moderate exercise, proper hydration, and limiting alcohol and tobacco use, are equally important

Both aerobic exercise (such as walking, running, and cycling) and strength training can stimulate glutathione production and enhance the bodys resilience to oxidative stress

Rohlfs, M, Bassett RL, Lacey C, McQual N, Mehta U, John I, Simien R, Tupue S, Dett TK, Glitza IC, Diab A, Amaria RN, Tawbi HAH, Davies MA , Hwu WJ, Hwu P, Patel SP