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One specific area of interest to researchers is NACs effects on the immune system

10.1007/s00520-018-4129-x 30 GuoM.WangT.GeW.RenC.KoB

Consider intramuscular vitamin B 12 injections instead of oral replacement for suspected or confirmed vitamin B 12 deficiency caused by diet if: The person has another condition that may deteriorate rapidly and have a major effect on their quality of life (for example, a neurological or hematological condition such as ataxia or anemia)