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Tamoxifen-induced oxidative stress increased the accumulation of the transcription factor, Nuclear factor-erythroid 2-related factor-2 (Nrf2), which activates the anti-oxidant response element (ARE) 34,35 and this contributes to chemo-resistance 36,37,38
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That means that individuals without absorption issues generally wont need to worry about vitamin B12 deficiency, even if they dont get it from their diet for a while
This report describes the sample submitted to the laboratory
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