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[46] [48] Pathophysiology [edit] Although the healthy body stores three to five years' worth of B 12 in the liver, the usually undetected autoimmune activity in one's gut over a prolonged period of time leads to B 12 depletion and the resulting anemia

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You cannot reliably detect contamination visually bacterial counts above 100,000 CFU/mL can exist in perfectly clear water

And not every peptide qualifies

Preoperative chemo-radiation-induced ulceration in patients with esophageal cancer: a confounding factor in tumor response assessment in integrated computed tomographic-positron emission tomographic imaging