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Pernicious anaemia (PA) is the most common cause of vitamin B12 deficiency in many countries, but it is not the only cause

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NAC potentially reduces the harmful effects of reactive oxygen species by direct scavenging of radicals and supplying cysteine for enhanced glutathione synthesis
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Deficiency is common in those with fatigue, brain fog, or nutrient absorption issues, especially individuals with gastrointestinal conditions, vegans and vegetarians, or those taking medications like metformin or proton-pump inhibitors
