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It is also worth noting that elevated levels of vitamin B12 should be taken into account during the diagnostic process, as they may indicate an underlying medical condition such as liver or kidney disease or cancer [33]

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Acknowledgements We extend our thanks to the surgeons, theater staff, and Arden Tissue Bank at University Hospitals Coventry and Warwickshire NHS Trust Hospital, Coventry, for the collection of samples

The main ingredient, Vitamin B12, supports energy metabolism and contributes to: Energy-yielding metabolism Normal functioning of the nervous system Normal homocysteine metabolism Normal psychological function Normal red blood cell formation Normal function of the immune system The process of cell division The B-Complex provides: Pantothenic Acid (Vitamin B5) which contributes to normal mental performance Riboflavin (Vitamin B2), Niacin (Vitamin B3), Vitamin B6 and B12 which contribute to the reduction of tiredness and fatigue and energy-yielding metabolism Thiamine (Vitamin B1), Biotin (Vitamin B7), Niacin (B3) and Vitamin B6 which contribute to normal nervous system and psychological functions Thiamine (B1) which contributes to the normal function of the heart Riboflavin (B2) which contributes to the protection of cells from oxidative stress and the maintenance of normal vision Niacin (B3) and Biotin (B7) which contribute to the maintenance of normal skin Biotin (B7) which contributes to normal macronutrient metabolism Ingredients Vegetable Glycerin (from palm kernel oil), Purified Water, Pantothenic Acid (as dexpanthenol), Niacin (as nicotinamide), Vitamin B6 (as pyridoxine HCI), Flavours: (natural mixed berry, natural fruit flavour, Prosweet), Riboflavin (as riboflavin 5'-phosphate sodium), Vitamin B1 (as thiamin HCI), Vitamin B12 (as cyanocobalamin), Preservative (potassium sorbate), Acidity Regulator (citric acid), Folic Acid (as pteroylmonoglutamic acid), D-biotin