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Hypocobalaminemia can interfere with hematopoiesis and can be responsible for anemia and pancytopenia [46,61]

ADSC-Exos were also demonstrated to protect pulmonary microvascular endothelial cells from inflammation-induced ferroptosis in sepsis-related acute lung injury by delivering miR-125b-5p, which inhibits Keap1 and activates Nrf2/GPX4 signaling

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This highlights the need for rigorous quality control in the production of Vitamin B12 injections to ensure patient safety
