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Alveolar defects have also been linked to reduced functional gas exchange (34)

Intrinsic Factor and B12 Absorption: Vitamin B12 is a very large molecule compared to other vitamins and requires an enzyme called intrinsic factor to metabolize effectively

Martelli S, Chow J

Under OS, excessive ROS also trigger release of inflammatory cytokines and transcription factors, establishing a positive feedback loop that perpetuates both OS and inflammation (38)

Another possible explanation is that CAT levels may increase only in individuals who engage in prolonged exercise