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Furthermore, oxidative stress markers have been detected in the genital secretions and urine of affected patients (39, 138, 139)
Zechmeister, M

Acknowledgements This work was supported by grants from the Qatar Biomedical Research Institute (Project Number SF 2019 004 and IGP5-2022-001 to Y.P.) and the HBKU Thematic Research Grant (Project Number VPR-TG02-06 to Y.P.)

10.1155/2013/260787 Int

Of those, five are most-cited in primary literature
If you have known pernicious anemia, severe anemia, or neurological symptoms, prescription therapy and close medical supervision are essential
