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Long-term risks are rare but may include nerve damage, leading to tingling, numbness, or weakness in limbs

Andersson, Emmanuel Shapira, Biochemical and clinical response to hydroxocobalamin versus cyanocobalamin treatment in patients with methylmalonic acidemia and homocystinuria (cblC), The Journal of Pediatrics, Volume 132, Issue 1, January 1998, Pages 121-124, ISSN 0022-3476, Okuda K, Yashima K, Kitazaki T, Takara I

In both MASLD and ALD, the presence of abnormal lipids can result in lipid toxicity, leading to subsequent inflammation, oxidative stress, ERS, and other related pathologies
Furthermore, low expression of HLA molecules and impaired antigen presentation contribute to tumor immune evasion (Liu et al., 2022)
