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First, mitochondrial dysfunction and metabolic abnormalities may act as potential initiating factors in PEM, manifesting as impaired ATP synthesis, overproduction of reactive oxygen species (ROS), and the accumulation of metabolic byproducts

Fetal alcohol spectrum disorders (FASDs ): Women who drink alcohol during pregnancy can put their babies at risk of developing FASDs, a group of birth defects that can cause physical, mental, and behavioral problems

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Gradually increase your food intake but avoid sugar and starch for 3 weeks

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But research has not found a clear association between vitamin B12 levels and pancreatic cancer