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doi: 10.3389/fchem.2016.00012
The reactivation of Ero1 by molecular oxygen generates reactive oxygen species (ROS) in the ER

Conversely, excessive activation of mitophagy can cause cell damage and death [428]

This can cause a number of different health conditions, including general physical symptoms and even all the way to neurological symptoms if you are really deficient in the vitamin for too long Some of the main symptoms of this B12 deficiency include: General symptoms: Having yellowish skin Feeling like the tongue or mouth is sore Weight loss Not feeling as hungry as usual Experiencing diarrhea, vomiting, or nausea Feeling weak or tired Neurological symptoms Having trouble with speaking or walking after having a deficiency for too long Having a hard time remembering things, or you can get easily confused

Some include a mild vitamin blend

Plasma acetyl-L-carnitine and L-carnitine in major depressive episodes: a casecontrol study before and after treatment
