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pylori -induced inflammation

This is especially true if someone has already been diagnosed with vitamin B12 deficiency, which is most likely to affect vegetarians/vegans, older adults and people with malabsorption issues due to underlying health conditions

Hepatocytes have a reduced capacity to eliminate ammonia through the urea cycle, leading to hyperammonemia that stimulates glutamine synthesis in extrahepatic tissues (muscle, brain, heart, and lungs)