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The chemistry of reactive oxygen species (ROS) revisited: outlining their role in biological macromolecules (DNA, lipids and proteins) and induced pathologies
Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)

Hemolytic Anemia : Hemolytic anemia occurs when red blood cells are destroyed faster than they can be replaced by the body

Srinivasan SS, Wang A, Song Z, Adrin F

Some medical conditions may also increase the risk of deficiency

Mounjaro is a long-term medication that helps you gradually lose weight, rather than having an immediate impact
