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It is common in populations whose diet is dominated by refined rice, white potatoes, or cassava and lacking in meat, fat, and vegetables

Alemayehu A, Zelinov V, Boov B, Huttov J, Mistrk I, Tams L (2015) Enhanced nitric oxide generation in root transition zone during the early stage of cadmium stress is required for maintaining root growth in barley

Furthermore, the disruption of membrane structure, the enhancement of membrane endocytosis, and the increase in membrane permeability caused by FB1 in macrophages provide additional insight into potential mechanisms by which the fumonisins might enhance oxidative stress and cellular damage [121]

Whilst B12 supplementation is generally considered safe due to its water-soluble naturewith excess typically excreted in urineelderly patients may experience certain side effects that warrant clinical awareness