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Lifestyle factors such as heavy smoking and drinking or a poor diet over a prolonged period can also lead to low B12 levels or deficiency

To that end, she emphasizes healthy nutrition, minimizing the use of potentially harmful drugs and toxic chemicals and minimizing the number of vaccinations administered by using vaccine titer testing and relying on the newer safer generation of vaccines that often only need to be administered once every three years, eliminating in most instances the need for ongoing, repeated annual revaccination

Sample size and oxidative stress marker level with SD were primarily used to evaluate ES

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