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During acute myocardial infarction, the dysregulation of complement activation can lead to the degradation of the EG, causing endothelial dysfunction, and therefore this may provide new therapeutic targets (36)

Mental and emotional factors like stress, anxiety, and depression can also affect the release of stomach acid needed to digest protein (which ensures that B12 is released from your food), says Kozlowski

This initial step is crucial and can be impaired in individuals with reduced gastric acid production, such as older adults or those taking proton pump inhibitors (PPIs) or H2-receptor antagonists

doi: 10.1515/cclm-2012-0689 262

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