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Here's how it works: A B12 shortage leads to a condition called megaloblastic anemia

A., Lopes, M

Once acetaldehyde is obtained from ethanol metabolism, aldehyde dehydrogenase (ALDH) converts it into acetate, but if the system is overloaded, the excess of acetaldehyde reacts with mitochondrial GSH (mGSH), depleting the mitochondrial pool [143]

The right tests done