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FNA can resolve the question but is usually unnecessary

Supplementation helps replenish these stores to support long-term health

The same mechanism that helps deliver healing factors to injured tissue could theoretically support tumor growth by enhancing blood supply to cancerous cells

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In plants exposed to temperature extremes, heavy metal-contaminated soils, drought, or air pollutants, the generation of reactive oxygen species and alterations in the intracellular redox environment perturb cellular physiology (Ogawa, 2005)

For those who eat meat and dairy and do not have an underlying issue preventing B12 absorption, this should not be a problem